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�,�-rau-ouzo Gity of Zephyrhills Permit Application Fax 813•�aaoo2� ;
<br /> 8uitding Department - , ;
<br /> Date Recaived ' �j •f Lj• �� ,: phone�Gontact for Permittln – � `
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<br /> C}wner's Name -r',5"T FrC,c.�rv� .� {lwnar Phone Number .�� Q f 'r
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<br /> Owner'�Addre�s � �.. r� s�d� Owner Phoae Number � � ;
<br /> Fee Simpie Tltlehotder.Name � � Owner Phone Number ��� � ',
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<br /> Fee S�mpla Titleholder Address
<br /> d08 ADDRESS /I ���'Y{ i�'�� LOT# � i
<br /> StiBDiY1SlON F`c2 " �{`t' RARCEL.ID# , O C3O S� �
<br /> (OBTAINED FRQM PROPERTY.TAX NOTlCE}
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<br /> WbRK PROPOSEp ��Ew caNsra- ADplALT � � S1GN [�] � 0 DEMQLl5H �;
<br /> , .e, iNSTALL 8 REPAIR
<br /> PROPOSED`rU3E Q SFR• Q COMM �� I�TNER i
<br /> TYPE Of C�NSTRUCTtON Q� "BLOCK " Q FRAME �[� STEEL Q �
<br /> pfSCRIPTION OF WORK �/�l.- ��t�./J7 .� �7" `/"� �� (
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<br /> BUILDING 51ZE '���� SQ FOOTAGE C_!�; ,NEfGHT�. '
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<br /> QBUILDING � � VA�UA710N�OF TOTAl."G�NSTRUCTION' ^ ;
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<br /> QELECTRICAL �� AMP SERVICE [,� PROGRESS ENERGY [� W.R.E.C. i
<br /> QPLCIMBING �'> � � �jr '
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<br /> �MECHANiCF►� $ VAt;UATtON OF'MECHAt31CAl.tNSTALLATIaN � �
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<br /> QGAS Q ROOFING .Q SPECIAITY � OTHER �
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<br /> FIt�3tSHED FLOOR ELEVATtONS C�� FLOOD ZCiNE AREA QYES. NO '
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<br /> 8UILDER COMpANY � ;
<br /> St{���lAT'L�RE – ffEGiSi'E�asn - -- Y 1 �1 �t�uRiteti Y i N _ __
<br /> Address ' ' " License#'1 � �� �
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<br /> ELECTRICIAN; �-COMpANY � �
<br /> Sl�,NATURE � REGiS'fERED Y) N FEE CURRE� ' "Y/N
<br /> Address ' � l.tcense# 1` � �� � ,
<br /> PLIlMBER ` ' � . CQMF,!ANY
<br /> SI{3NATlfRE` ' ' REGlSTERED, Y/;h1�• - FEE CURREh Y/N. �
<br /> Address � .License# � � ���
<br /> MECHANiCAL`" ' ���r�� �` —. - COM,P.ANY, � / Gt1'l
<br /> SIt3MATURE . � � t��tst'�EiiEo . N . FEE CU�n � N
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<br /> Address ` -: / J �i.j d ' � ' I:icen&e# C�_.���.�Q � 7�".�� .
<br /> OTHER . �- ' � ;CS3MPANY, _ �
<br /> 5lCaNATURE ='"- - := 3^` ' • ' ' REGISI'EF2ED` Y/ N...; " FEE CtlRREA Y I ld
<br /> Address I �," _ - . ' Gaense#`�l ��,.i�~..`-�.
<br /> RE8lDENTIAl„;�: :Af#aich�'(2)nP1at�Plans;.�2)sets:of:Buil�ing?'Ptans;°li)sefof-Energy�Foirns;:�R rO�W'Pemnif hi.r.new construcfion, � '�
<br /> ' :�:,,�Minlmum�ten�(+10);working;;days,_aftet'suhmitkal idate::Requtretl oiisite;:GonsUuCtlonfPlaiis;•Stoimwater Pians�w!Sfit�Fence installetf.
<br /> '� Sanitery Facllldes;&s1:;dumpste_r,_�_SIte�Worlc;P.ermit�iorsutidiVision"s./iaige�projects;-,,�-;�;:,.� � ��- -�
<br /> r�, 33-k'r}� ''t' �$ .¢.�i2��1'x-:.a,.#.�"�:.z'`_a. .4 ,-.
<br /> COMMERC{As. Attach(3j`c6rr'►piete se#s'bf'Buililing Plans ptus s Ufe 5'afefiy Page;(1}s'et of Energy Forms.R-O-W Pertntt for new cons#ruction.
<br /> Minlmum ten{10j workfng days�after submlttai date. Requ(red ansite,Construc@on Pians,Stormwater Pians wl Silt Fence lnstailed,
<br /> Sanitary Facili8es&1 dumpster.Site Work Permit for all new;prnjects..All commerctal requlrements must meet comp!lance �
<br /> SIGN PERM17 AftacFi(2)sets cifE�gi"rieered-P!lans:�: : ". ��. .
<br /> ""'PROPERTY SUR1tEY required far_ai!NEW cons#nac�on..
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<br /> Directions: � � .,_,F . � '
<br /> Fil!out appifcatton contpfete�y.
<br /> Owner 8 Contractor slgn back of appltcaGon,notadzed �
<br /> If over;2S00,a Notice of Cammancemeat Is requlred. (AlC upgrades over�7500)
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<br /> l�qent(for ttie canUraoto�)br'Power of Attortmey`(for tlie ownerj woutd be somieone with nota�ized letter from owner authorizing same
<br /> pVER 7HE COUNTER;PERMiT7NG --••(Front of•Appiicatlan-Only)• �- �
<br /> Reroafs tf shEngies Sewers Service Upgrades A!C Fences(Plof/SurveylFootage}
<br /> Driveways-Not over Counter if on pubi(c roadways..need`s RQW"
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