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<br /> � , 813-780-0020 City of Zephyrhills Permit Application Fax-813-78p-0021
<br /> � ' � Buliding Department .
<br /> Date Recelved .., phona=Contact for.Pernttftin � � �6 t:+� - ��f
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<br /> Owner's Name ����� Owner Phone Number ���-�O a�'"c����. '
<br /> Owner's Address GP �- � 'T / Owner Phone Number � �
<br /> Fee Simpie 7ltleholder'Name �� � •Owiner Phone Number '�` ��
<br /> Fee Simple Titleholder Addresa ,
<br /> 308 ADDRESS � J�� LOT# ���
<br /> SUBDIVISION � � PARCEI,ID# L/� � � ,(���,� ����
<br /> , , . (OBTAINED FROM PROPERTYTAX NOTICE)
<br /> WORK PROPQSED NEW CONSTR ADDIAL.T � StGN`� '[[� Q DEMOI.tSH
<br /> �:e_ INSTALL REPAIR - .
<br /> PROPQSED:USE Q SFR Q COMM � OTHER . ,
<br /> TYPE OF CONSTRUG`170N �Q• , BLOCK ' [� FRAME ,� STEEL '[�
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<br /> DESCRiPT10N OF WORK ��,r �G� �f��� �-ot,�.� ,�'' � �d ,N ;� I�i�
<br /> 8tlIi.DING SIZE • "SQ FOC>TAGE � . .NEIGhIT .� � Y
<br /> QBUt�Dliti}G , $ � VAlUAT10N�2�F�TOTl4L"'CONS't`RUCTION� � .
<br /> QE�ECTRIGf1L , � � " AMP SERVICE Q PROGRESS ENERGY Q. W:R.E.C. ,�
<br /> QPLUMSING r $ ' ' ; -
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<br /> OMECHANtGAL $� f�� VALOATlQN OF;MECFi1WICAL IN3TRLLATlON
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<br /> QGAS Q R�OFING Q SPECiPd.TY.��� OTliER•
<br /> FINISHED FLOOR ELEVATIQNS �w� FLOOD ZONE AREA [�YEB µNO
<br /> BUEE.DER COMPANI': .
<br /> SIGNATURE REGISTERED Y/ N �E cua�n Y/N" '
<br /> Address , Ltcense# � ' I
<br /> ELECTRICIAN. � C�MPANY
<br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE�•• '�Y/N
<br /> Address � . ., i.icense�#.(. � �
<br /> PGtJMBER ' . , - ' CQMt�ANY � �'~ �..• ,
<br /> SIGNAYURE' � REGISTERED- - Y,l--N:; �FEE:CURREP Y-/N °
<br /> AddrBSS _.LIC@IlSB,# �-. . � —�
<br /> MECHANICAI: � . . �,�,� {�,��,,,,�� GOMPANY �f-I � ,� , .D`�t3 NC S�'t C �-�
<br /> SIGNATURE S' ~~I�����`��'!` ,� REGISTERED . Y./ N„ 5 „ ,FEE:CURRE�` YI�N � . .. . �
<br /> Addra�s� 7 T=l 1y7 ��� � . � � � � Licsrise#� ��.�0��h'.�.���
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<br /> I ��i'.� :� - - i � :+{,i�M��Y
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<br /> ' SIGNATURE •. � � ' ' ' ' " �REGISTERED � Y/ N_�� �.FEE CURRE� Y/N
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<br /> �dC888 "� . .. HF. . y� �CBti$9�'� � " v�.
<br /> h�%',%:: �_ �
<br /> RESiDENT1Al;.� :Attach'{2)aFlo#�Ptlan's;.(2}sefs:of<BuEldlrig=Pleiis;'('1)set of�Ertiergy4Farms;-.R-0�W Pemiit far new ccnsWctton, , _. ,_
<br /> ;���Minimum�ten�(a1,0)�working�days„after:submlttal date:"::Requlred o"nsite;iCo`nstiucfton:Rlans;Stormwater"Plans w/`Silt`Fence installed,
<br /> .;�`�j' "Sanitary Fard�lldeg;8�;,1�;dumpster�Site Waric.,Pertnit;#o�,subdivislon"s'/large`:pro]ect's,=.'-.-�;:- , ' . .
<br /> COMMERCiAI. Attach{3)°coii�plete sef`s'of`Biiitdiiig Plaiis pltts a Life'Safefy Page;{'1}set af Energy Forms.R-O-W Permit for nexr caristnict3on. °
<br /> M(nimum ten(10)working deys after submittal date. Requlred onsite,CansWction Plans,Stormwater Plans w/Silt Fence installed, �
<br /> Sanitary Facilides&1 dumpster.Site Work Permit for all naw projects._All commerctal requlrements.must meet compliance` � �
<br /> . .._ �- ,.....
<br /> SlGN PERMIT AttacFi{2)sefs af Eisgiiiee[ed:Plans;. : .� -
<br /> •`""PROPERTY SURVEY,required�for_all NE�'V aanstrucNon., - _
<br /> Dlrections: � , .`, , _ ` �
<br /> Fill out applicaUon completely.
<br /> Owner&Contractor stgn back of applica@an,nptarized
<br /> !f aver�2500,a Noftce cf Cammencement i�requlred. {AtC upgrades over 3T500}
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<br /> " Agent(for the contractor)or'Pbwer df Attbmey'(for tFie owner)would be someone with�notarized letter from owner autharizing same
<br /> a1tER THE COUNTER PERMI'fTING� -- ;(Front of•Appticatian On{y} - ' _ _
<br /> Reroofs if shingles Sewers " Service Upg�ad��-A�'�"`"°'F�nces(Plot/Survey/Footage) � " �i � � �
<br /> Orivewaya-Nat aver Counter if on pubiic roadwayrs..need's ROVN' � ,
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