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� 813-?80.00zo City of Zephyrhills Permit Application Fax 813-�so-oo2�
<br /> � �=`�ti Bullding depattment .f�
<br /> Qate Recelved -s= Rhqae�Cantact for PeflttltEie �1� ' �i�f �
<br /> ' �-��L-� ��'e o a��� t�- ' ; �!��
<br /> t}wner's Name !� Owner Phooe Number
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<br /> Owner's Address �� � I = Owner Phone°:Number � *��
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<br /> Fee Simple�Tltleholder Name ��- - � Owner Phone Numbe� ��
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<br /> Fee Simple{Titleholde�r.Address �
<br /> JOB ADDRESS LOT# �,�
<br /> SUBDNiSION PARCEI.ID# �
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<br /> t , , , (OBTAINED F.ROIA PROPERTY.TAX NOTICE)
<br /> WORK PRO,Pt}SED NEW CONSTR' :- � F ADDJAL-fi Q S1GM1!' Q � �'�Q DEMOI:ISH
<br /> ; ��.e. INSTALL � ; °-REPAIR �
<br /> FROPOSED=USE • . Q SFR. � �GOMiN" "�„� �OTHEi2 ` ,
<br /> TYPE OF CONSTRUCTION' Q` `BLOCK ' Q FRAME � .�_ STEEC Q
<br /> DESCRIPTION OF WORK' ' � �� �f � � _
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<br /> BtiiLDtNGStZE' � �'SQ,FOOTAGE��, . _ ,,HEIGHT��� �,
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<br /> 0����'�;��" L , � VALUATiON:�C'IF`7'OTAL CON$1'RUCTIOM '
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<br /> QELECTRIGAi. y' � ' � AMP SERVICE Q 'PRt3GRESS'ENERGY Q W:R.E:C.
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<br /> [�PLU�81Nf3 ` .,�� ` -
<br /> QMECNi41ViCAL $ ' ` 1tALUATiQN OP,MECHANICAI[NS'fAGIATIt?N .
<br /> t . - . . � --�1 �a��
<br /> QGAB Q _ FtOQFING Q SPEGIAL'TY ,[� OTIiERf. .
<br /> FINISHED FLOOR ELEVATIONS r�� FL.00D ZONE AREA QYES NO .
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<br /> 8U1Lt}Eit ��� COMP%�NY'" ' " : :._:- , � ,
<br /> SIGNATURE REGISTERE� Y/ N FeE cuR�n "" ° ' Y/N
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<br /> Addrsss � t �.�. - Ucense'#'�� �
<br /> ELECTRICIAN; < . , , :CBMPAt�(Y � � . , -,
<br /> SIGNATURE � REGISTERED Y/ N FEE'CURRE��� ` ��Y 6 N `
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<br /> Addres� ; Y � � ' ~,., � � .. . _ License# � ,� �
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<br /> PLUMBER ; ,.�COMPLANY ..�., '.:
<br /> SIGNATURE' `` � _ REGISTERED , .X./.N�: - �.FEE CURREK Y-/N,�. �
<br /> Addr6S8 � � , . LiC81,1S8;#,f�., < ' �-
<br /> MEGHARltC�41: _ � - � . - _` .COMPliNY � . ` � ` ..
<br /> p,.; �,.;.{.. •
<br /> SIGNATUPtE� ' � '" 3 ' REGISTERED,, Y_/ N. ''FEErCURREA= Y�,/*N. •
<br /> ,, _ <kxx� . °-�;�: .
<br /> Address a' ,'"F ." . " . , � . , • • ' � , _ . License#�� � ,
<br /> OTNEEt � ' ' ' • ' � ` '` 9;C01111P1�it+lY � _ .... � �
<br /> SIGNA'iURE �. "' �'•°`" '`�% - ' ' - ' ' '" ' ` � 'REGISTERED` ' 'Y/ N_.: � ,FEE CURRE� Y I N
<br /> Addres�. .•� , . ...,t , -... ; ...� , .. -, ,. Licerise# ' ` . . , ,.� � , ..
<br /> x.
<br /> RES1DENi7A!»�.;.n;Aitacti{2}�Pto�Plairis;;:{2}sets.:o�8uitd[`ngti'lans;`{'Ij�'setof=Eriergy+�Forins�;i2�WFenriltfarnewconstructton, . _ .- L '
<br /> <-; :s,rt�;:>Minlmum;tenr(>.1A)�workingydajis,�after,r"sutimlttal`da4e�<:Requi�ed onsite;.Consfrii'cNan=Rlans;'8tortnwater'Plans�w/SOt'Fenre insfalletl,
<br /> , �r..�,<':,.,; rx..:�..ix vr_ S� ..1.";., , .,. . .
<br /> � Sanitary Facillties,&r„;iiumpster-: te-Wor.kS:P.ermit for�sutidiVisions/lafge�proJects`_.;';" :=;. r: • _' :• - ; ,�:��` �=
<br /> �.,_5,-w, .x., � . , � �.,.�,...,. ;.
<br /> C4MMERCIAL Attadi{3)�coriiplete�seE�of�Buiiding Plans plu's a'Ufe'S'afet}i Page;�{1)set of Energy Farnts.R t?-W Petmit for new cflnstnsctlon. �
<br /> Minimum ten(10)worlcing days aRer submlttal date. Requlred onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed,
<br /> Santtary FaclliUes&1 dumpster.Site Work Pertnit for all new�praJects:.All commerctal requlfements.must meet aompliance � `
<br /> SFGN PERNIFT Attact�{2)setg of'Engin�red;!?[ans:,<=: r�=_� � T., _, _ _ ; ` �
<br /> '••"PROPERTY SURVEY required_for aII�fVEW_cs�nstructton._
<br /> Directlons. ,.�.t;;�_.,:t..�.,: .: , ,- .
<br /> FIII out applicaBon completely.
<br /> Owner&Canha�tor sign back of appifcatlon,noWcized
<br /> 1f aver�t500,a Nottce of Commencement 1�cequired. (NC upgrades ovar�T500} :
<br /> 3.';';E'�g.>:.��I
<br /> "• Agent(for the contracto�)'or"Povue�of Attamey(for tfie ovirner)wrould be someone with natarized letter from owner authorizing same
<br /> OVER THE COtiNTEQ.PERMI'F'[!NG ...�..(Front af�RPPlication-Only) .� . . ' .
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
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<br /> Driveways-tUot aver Counter if on pubiia roadxiays'..needs ROW�
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