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a�a-�eo-ooao City af Zephyrhills Permit Applica#ion Fax-813-780-0021
<br /> Building Depattment . A�
<br /> Qate Recetved ' � �� �'�'� . :>: Phone=Coritact for�Perrriittin -` — .
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<br /> O�nrner's Hame �'1Q� c.,�\�'ZQa�' Owner Phone Number �I �2�3� ! �
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<br /> Owner`s Address �S �r ( Z-���� �� Owner Phone.Number
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<br /> Fee Slmple iTltleliolder Name V� I Owner Phone Numbe� �
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<br /> Fee Simple Titl�holder Address
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<br /> JOB ADORESS C/ LOT# ��
<br /> SUBDIVIS(ON PARCEL ID# ' '
<br /> � � '
<br /> � , , (OBTAINEDF.ROM.PROPERTYTA%NOTICE)
<br /> WORK PROPOSED _NEW CONSTR ADDlAI:T � 31GN` Q � - Q DEMO�ISH
<br /> , ':e, INSTAL:L � REPAIR
<br /> PROPOSE[}:tJSE SFR• Q 'COM(VI � �OTHER " '
<br /> TYPE OF CONSTRUC'1'ION �"'` ` BLOCK "' Q FRAME ' �� � "STEEL [�
<br /> � � �1� l 4,
<br /> pESC�'iIPTION OF WORK' ` cJ/1 J�'7 � �^'l� J��i !1✓r � �c� �v�� �r� d /`../E'�.C�r /� �+3
<br /> BtlILD1NG StZE' �� � S4 FOOTAGE ' �� _. ,,.HEIGHT�,�_____� >, ,
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<br /> ���«"Q'��' � � V U N t7F't'O`fAL CONSTftUCI'ION � �'
<br /> � ��� �y�, �$ ` , T -
<br /> �EI:ECTRICAI. _ _ ����� AMP SEi�1lECE Q PROGRESS ENERGY [� W:R.E.C.
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<br /> OPLUM811titf3•� �L.._ � ���C��"'
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<br /> [�MECNAPIlCAI ' $ ' VALIIATlON OF;MECHANICAI.INSTALIATtQN �
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<br /> o�s o �ooF��G c� ������.� o o�E�, � . -
<br /> FINISHED FLOOR ELEV�►TIONS �. � FLOOD 20NE AREA [�YES -,NO ,
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<br /> BUIlDER . �� COMPANY~ `' �lr'^ -
<br /> SIGNATURE REGISTErtE� Y/ N . " FEE cuRi�n " � Y/"N
<br /> Actdress ' License# � �
<br /> ELECTRICItIi+t; � OMPANY , � -
<br /> SIGNATURE � EGISTERED Y/ N F�cUR�� �Y/�N"
<br /> Addres� ` � - . , . �� , � � _ License# � � - �
<br /> P�UMBER '� � COMP,,ANY ��. ; ,- ' , ,
<br /> SIGNATURE' �� A _ REGISTERED � Y./;,N�� -,;FEE_CURREK Y/N. �
<br /> Addre�s ' , - Llcense.#j�; . •. - ���.
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<br /> MECMANICAl: , } , : - , �, . COMPAFtY -�.. � • � `
<br /> SIGNATURE � � ' " REGISTERED„ Y,/ N , FEEtCURREA.• Y,/^N� •- . �
<br /> Address°�- , •� _ . ., ` ' _ : :, _, License#} � � .
<br /> < . - _ -t. ,. - -
<br /> OTHER = � . _ , ';GOMPANIt , _ �
<br /> SIGNATURE � � - , " - ' ' � " `REGISTERED� Y/ N�,. 'FEE CURRE� Y/N
<br /> Address♦ . , ,, , .,3° , _ - z .' , L'ioense#�� ' , � `
<br /> .,�� �....,,�..��. _ .
<br /> ttESIDENTfAt:�_ � :Attacti`{2}�Rtof{Plans;:.{2)sets����Bulldlrig�'Ptans;'{'1)set of*'Erieigy�_�oiins;�F2=0=W'Peiin,it for nsw bonstruct�on, .y "
<br /> :-��_.,MinimumatenY(�1,0):woridng;days_after,�submltfal-dake.�:Required onslte;:CanstiucBon=Fians;=Stomiwa4er Plans w%Sllf'Fence instt+�lled,
<br /> Sanitary Facilttles&1�dumpster;Site Worlc;Permittor.subdivisions4arge.:p,r6Jects,�; _;:;.�:�� �". „ � ` �� ' " �
<br /> COMMERCIAR. Attach{3)�coici'plete se#s"of Biilklliig Plaiisiplus a`.l:Ife Safetyi Page;{1}set of Energy Farms.R-Lt-W Petmit far new canstructlon,
<br /> MiMmum ten(10)working days after submlthal date. Requlred onsite,ConstrucNan Plans,Stormwater Plans w/Silt Fence inskalled,
<br /> Sanitary FaciliUes 8�1 dumpste�.Site Work Permit for all new�projects..All commercial requl[ements must meet compliance '� °
<br /> SlGN PERMIT Attacti{2}sets of`Englneer.ed�Pians:�:..>,:_„�' �._ � . � � . .
<br /> i ••""PROPERTY SURVEY reguired for all,NEW_canstruc,tlbn.. �. . • .
<br /> Dkectlons: . . .�,���• .;- .- � � , ,; ;
<br /> FIII out applicatlon completely.
<br /> Qwner 8�Contractar sfgn back of applicatlon,notarized
<br /> if over 52500,,a Notice of Commencement-is required. (A!C upgrades ovar 57500) ,
<br /> ,.w�.4>n,�:,:;.,,
<br /> '" Agent(for the�contiacto�)`or Power of"Atkomey(for tlie owner)would be someone with notarized letter fmm owner autharizing same
<br /> OVERTHECOUNTER,PERMt�fTING_. .._.._.{Front•af-APPIIcaNamOnly)-. ._ .� , . ` - i ,
<br /> Reroofs If shingles Sewers ; Service Upgrades A/C Fences(PlodSurvey/Footage)
<br /> � Drtveways-Not over Counter if an publtc roadways:.ne�is ROW
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