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813-�eo-ooz�o City af Zephyrhills Permit Application FaX a�a-780-Op21
<br /> Butiding Department
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<br /> Date Recetvec! , , 11 j Phone-Can#act'far=Parmittin D i� �J �{ ��
<br /> qwner's Name °�� Owner Phone Number
<br /> Owner"s Address " Owner Phone Number .�}�� '—�g�`""��3'� I
<br /> Fee Simple Tltlefiolder Name � � ' Owner Phone Number � � �
<br /> .r � -
<br /> Fe�Simple Tltleholdar Address
<br /> JOB ADDRESS � LOT# C��
<br /> SUBDIVISION , �� � " PARCEL ID# '
<br /> (pBTAINBD FROM PROPERTYTAX NOTICE)
<br /> WORK PROPQSED �__NEW CONSTR ADD1AlT �" SIGfiI'• 'Q Q DEMO�.tSH �
<br /> e. INSTALI. � =.REPAIR �
<br /> PROP05ED.t3SE � . Q SFR• � COMM � •OTHER j
<br /> TYPE OF CON$TRUG1'ION � Q� '�BLOCK " Q FRAl1AE C]_ STEEC 'Q
<br /> .;, � ,
<br />�, DESCRIPTION OF WORK- .{^Vl C.� �l�t �
<br /> I SQ�001"AGE 'tc�Z , NEIGHT
<br /> su��a�H�s�z� Z�i X Z� � ��__��, .
<br /> ���i�"����' • � VALUA710N:GfF TO7AL'COtVSTRUCI'ION Y
<br /> �j�C',�,OD�
<br /> QELECTRICAI. r$—"� AMP SERVICE � PRO�RESS ENERGY Q W.R.E.C. „
<br /> �___.
<br />' QPLUMBING .. $ - �
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<br /> QMECNANtGAL $ � , VACUATION OF<MECHANICAI.[NSTALG9Ttt?N (��
<br /> � �l
<br /> QGAS � ROOFING [� SPECIAl.TI �� OTHER,
<br /> FINISHED FLOOR ELEVATIONS ��� FI.00D ZONE AREA �]YES. NO . ._
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<br /> su«a��t �f ' coM��nr= a e ��tOv��e.�'
<br /> , SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
<br /> . , .•,. , .
<br /> � Address � , L"taense# � �
<br /> ELECTt2iC1Ai�! .. - ;GOMPANY` _ . _ -
<br /> SIGNATURE � REGIS7ERED Y/ N FEE CURRE�`� ` �'��Y/N
<br /> Address � _ ., License# � • � �
<br /> PLUMBER � . , . COMP,AFlY � � �
<br /> 51(iNATURE" �`'� REGISTERED ,YJ�.N=. , •;,FEECURRE� Y•/N.- -
<br /> aaa�s � ' � ucense.# �. w� .
<br /> MEc���ca�: - . • . , � ., � � , coM,�a�nr. �
<br /> SIGNATURE � � �� ' �� REGISTERED Y,./ N , < FEE'CURRE� Y/-N , �
<br /> Addre�s`' .�� .: . - - ..�_. � ' ' �icense#��. . " --� ,
<br /> O'iNER �` � - ` - � - � ' ' ' ';GOM�BANY � � � �
<br /> SIGNATURE--" . - � ' ` • ' R€GisTE�o Y/ N:. � "FEe CURrtEn Y/N,
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<br /> Address ' ' - ° � . „ - . - •� _ . ._ --
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<br /> ,.`;; ,,- l:icense# ��
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<br /> ,RESlDEN'f�Ai»;_- :A#a,cfi'{2}nPlots,Plati`sr.;(2}sets:of{Buticling�Pta�s;{ljsetaf:Energy;Fai�ias.;'F2=0-tN'Perrrilttorneu±rcons#ructian,.,_ _ . , , , • . `
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<br /> � -;- w,�,r�Minimum�ken:(•10),working da�is:after�sutimittal=date.;'Required orisite,`Constructlon-Plans;'Stormwater Pians w/SIIt Fence'in"stalled,
<br /> Sanitary FaclliUes&1idumpster,=Site Work,�P„errnit'forsutid(visiori,s/large projects=�;b-�;�,�� : � � •:r-� ``� :��'.� ����_ � _�_ ' ' ' _
<br /> COMMERCIAL A#tach{3}coiriplete sets of'8uli�ing Plans plas a 1.if�Safefy'Page;(1}set ofEnergy Farms.R-�W Permit foc new construttton:�`� -
<br /> Mintmum ten(10)working days�after submittal date. Required onsite,CansUucUan Plans,Stormwater Plans w/SIIt�Fence installed,
<br /> Sanitary Facilitles&1 dumpster.Site Work Permlt for all newiprojeots:All commerclal requiremen�must meet compltance'' ` ' ^ -
<br /> SiGNPERMIT AttacFi{2}"'setsof'Englneered�P3aiis::;:�;�:���:_�� . .. � �. ' . . , -' ' . , �� , .
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<br /> ••*"PROPERTY SURVEY;required forall NEW conshuctlqn., - --- -
<br /> Direc#lons: ,. . .%.. , , , • ' .. _ .. -
<br /> , Fiil out appNcadon completely.
<br /> Owner&Contractor stgn back of applicaUo�,notadzed
<br /> � If over�2500,a Notice of:Commeacement i�reqaired. {A!C upgrades aver 57500) r t. .._...,,.,
<br /> i rM i."y'':,iM;:>��"
<br /> , Agent(for the contra'ctor)or`Povirer of Attamey(fbr tFie`owner)would'be someone with notarized letter from owner auttiorizing same
<br /> D1tERTHE'C{}UNTER,PERMITTING._. --.(Frontof-APPlicaBon°On1y}_ �. �.` �..t,` , � _ . . ` - ,. µ
<br /> Reroofs if shingles Sewers Service Upgredes A/G Fences(PlodSurvey/Footage) _ _ ._ _
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<br /> Driveways-Nat over Counter if on-pubiic rosdways:r�s�d`s ROW-: `- . � --, ..,•.„>.,z . ... - - , .��. .. - ` "
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