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s�aaso-ooao City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Bu{Iding DepatUment .
<br /> Date Recetved •,: Phone•Contact�for Fermiittln ' ��� 8,� — �a l
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<br /> Owner'�Nanne ���/l.d h'1 %~s -�� Owner Phone Number
<br /> Owner's Addre�s ��O�� � �l /`�7C. Ow�er Phone Number � �=
<br /> Fee Slmple 7ltleliolder Name Owner Phane Number � �
<br /> Fee Simple Tltleholder.Address •
<br /> JOB ADDItESS ��� l� � C�AK A , �''���N�''N •� LOT# ��J
<br /> susoiws�orr , � � � p�tce�.ie� �` �' �?��l l�l3: Dl�,�� OD c�'�
<br /> , (OBTAINED FROM PROPERTY,TAX NOTICE)
<br /> 1NORiC PROPOSED �. NEW�CONSTR . ADDIALT � StGN' Q � ' Q DEMOLtSH�
<br /> �= INSTALI, � FtEPAIR ,
<br /> PROPt3SED�USE . Q SFR. Q �COMM �� .OTHEt2 . . . ,
<br /> TYPE OF CONSTRUCTION �] BLOCK ' '[� FRAME � � STEEL' [] _
<br /> DESCR{P110N OF WORK ���'.+ �"f� C'�}1�-/V �-o��' � -��-r» �s'�iU�S a2.. foN.
<br /> BtlllC}lNG SlZE' r�'. �"SQ�FOOTAGE ' .,HEIGHT ;�. �
<br /> �$�«�»'�'' ` �� VALUATiON=OF`TOTAI"CONSTRUCTION � � - "
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<br /> QELECTRICI� � 'Y�� � AMP SERVICE C] PROGRESS ENERGY Q W:R.E:C. .�
<br /> QPlUMBiN{�- � � _. _ , - '
<br /> QMEGNANICAL �� VALUATION OFaMECHANICAI 1NSi'ALIATl01Y _
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<br /> - [�cAs 0 �oo��rv� ,CJ SPECIA�TY � OTHEFi� �
<br /> FINISHED FLOOR ELEVATIONS r�� FI.00D ZONE AREA � QYES. rN0
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<br /> BUF[.DEit COMPANY� '
<br /> SIGN/�1TURE REGISTERED Y/ N FEE cuR�n Y/N�
<br /> Atidress Ltc�nse#" " � ��
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<br /> EE.EC7RICIAN: .'COMPANY � -� ' -
<br /> SIGNATURE � REGISTERED Y/ N �ee cu�n�' 'Y/N
<br /> Addre�s � ` , � .. L(cense#�,� �
<br /> FLUMBER ' COMP.ANY - . , .., _ `
<br /> SIGNATURE' ' , .REGISTERED Y.L--N,s ;;__',�FEE.CURREP Y./N: � ' "
<br /> Addre�s LicenS9,.# �i_. , '�:
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<br /> MECt}ANlCAL`" ,, � ` �`�YI!�..�. �,, co���.,,ar�nr �. t�l�k�' ,.:�L��`"� �=��. _ :
<br /> SIGPlATURE REGISTERED., Y,/ N. . ., ,,,. FEE CURREA. Y/N -
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<br /> Address.:,. ; �* � , ' _
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<br /> - . ,- _ ucenss# C.10
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<br /> OTNER `` � . - . � ';GONl,PANY - � � � + f
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<br /> SiGNATURE �. '+ , '' ^ •r' ' ' 'REGISTERED ` ' ' ` Y/ N.::: ' `.Fee cuttitE� Y'/N
<br /> Address , . - - ' , ` License# �" � ~�
<br /> �.. . .. .. . kt.;a...:, r .:*.: . -� �` �•r '� �; . • ,
<br /> RESlDEN'i1At:w�: =Atta`ch'{2}rRtot Platfs;z{2}sets of:8ui1d1iigsPlaiis;{1}'sef af-E�sergy*Forins;R=O={74f.Perinif fior riew canstrvcUon, ., ' ' ` .
<br /> �-; �;.,:;Minimum�.ten:(:1,0)hworking;days;,aiter,;;submlttai`dat�S�Required onsite;.ConetiuoBan=Plans;�Stonnwate�plans w%'SIIt Fen`ce°installed,
<br /> �` Sanifary Fac�ltties;&�;1�,dumpster.Stte;WqrktPertnit#or�sUbdivlsionsAarge�pnojects,r,_.�.�� , � '-. ' : � '�' �- '`-�'
<br /> COMMERCIAi. Attach{3}-coinplete sets af Ball�ing Plans'pius a'Life'SafeEy Page;'{'f}set of E'nergy Fotms.R O-W Permit for neuv constructidn.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construcdan Plans,Stormwater Plans w/Silt Fence fnstallad; -
<br /> Sanitary Faailides 8 1 dumpster.Site Work Permik for all new:projects..All wmmercial requlremenks.must meet compllance �
<br /> Sl�N PERMIi' Attach{2j'sets af Er►g,i"_rseered;Plaiis.; �-:;,-- � = '
<br /> '•'"PROPERTY SURVEY required for,all NE1r'V con�sWctlon._ � - -
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<br /> FIII out applicaUon completely. •• >
<br /> Owner&Cantractor slgn back of appl(catlon,notarized
<br /> If aver�2500,a Notice af Cammencement is required: {AfC upgradss ovar�T500)
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<br /> '" Agent(for the contraotor)or'Power of Attbmey�(fci�Uie awner)would be�someone with notarized letter from owner autha�izing same
<br /> OVER THE CC}UFiTER PERMITTING ,--;(Ftont of;APPticatio.n{3nly). :, " .. - -", .,�. .. .s.,�..�
<br /> Reroofs If shingles Sewers ` Service Upgradas NC 'Fences(Plot/Survey/Footage) - � , J�� � � � .
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<br /> Qriveways-Not aver Counter if on pubtic roadways..needs ROW• � _ , .
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