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e�s-rao-oo2o City of Zephyrhills Permit Applica#ion Fax-813aeaaa2�
<br /> Butlding Depa�tmen# �'�
<br /> Date Re�eived � .i � ' ' '� _ _ �
<br /> � � � Phone�Car+#ac#-for Perenittin
<br /> Owner's Nam� . Owner Phane Neecnber � J ��,Z�- ,
<br /> Owner's Address – �� Owner Phone.Num6er�
<br /> Fee Simple�Tltleholder Name ^ ' Owee�Phar�e Numb�r � � I
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<br /> Fee Simpte�Tltleholder Addre�s
<br /> JOB AbiDRESS '� �U �<� s LOT# ��
<br /> SUBDtY1310N �� � PARCEL ID# • '
<br /> { . - , (OBTAINED F.ROM PROPERTI!TA7(NOTICE)
<br /> WORK PROPOSED �,.NEtN CONSTR .. " - " ADDtAIT �]" StGN" Q � Q DEMOI:ISH
<br /> er INSTALI. � � REPAIR
<br /> PROPOSED;USE Q SFR Q 'COMM � �OTHER � '
<br /> 7YPE OF CONBTRUC"1'ION � Qd ' BI.00K " Q FRAME � ' `STEEL Q ,
<br /> pESCRIPTION OF WORK' Y � ` I � � � s �C. � _ ` -
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<br /> BU(l.DIT+tG SIZE`' SQ`FOO'I'AGE" ..HEtGtIT ..
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<br /> QBl1t�DING � � VALUATION:�1F`l'OT'AL CONSTRUCTION - A ' `
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<br /> �]ELECTRICAI. �-4 �j � AMP SERVICE Q PRCIGRESS'ENERGY Q W:R.E:C.
<br /> f �v� � . . � -
<br /> QPLUMBlNG -;$/ � p��r ,
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<br /> C]MECNANIG� $ YALUATION OF,MECHANICA�115tSTAL1.AT10N �
<br /> QGAS � ROOFING Q SPEGIALTY;C� OThtER< . -
<br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZQNE AREA QYE5 lN0
<br /> , BUI�DER COMpAWY� � • . , .
<br /> 'i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Atltfr888 • L'ICeI1SE#4�� � ��
<br /> ELECT'RlCIAR+i: _ � '`COMPAl�Y ` � �� '
<br /> SIGNATURE � REGI$TERED Y/ N FEE CURRE�•' ��Y/N'
<br /> Address .. � • , . _ �License#,�; - �
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<br /> PLUn11BER � : COMPANY , �
<br /> SIGNATURE' REGIS7ERED Y./.N.; -,FEE�cuRREn Y/N, -
<br /> Addrass + _ � �., Llcense,# Ic...� ... ' �:
<br /> MEClfANlCAl: ' � CONtPANY - -' . � � . '
<br /> $1GNATURE� ' ' ' REGISTERED.; Y,/ N FEE�CURREn�. Y%N. �
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<br /> T114����$, �-. . t 'r 2. . �s z '-
<br /> - - Licanse# . . .. .. ... ... ... . .
<br /> O7FFER �" . . " � `;GOMPAt�tY' ` ' ' , , '
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<br /> SIGNATURE ;��.• . -• � • • ' ' • . �REciSTEr�b`` - ' ' Y/ N..::. �E cu�Re� , Y/N
<br /> Addre�s _ f' - _ .c,�,.>. " s; .._.' _ , . • . ., „�.z:. . LEcense#-�— '�'�
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<br /> RESIDENTiAI:;r: :Aitacti,(2).RtotitP.latis;.;(2}sets�.of=Buliding'PEans;'{1}'se#of=Energy Forms;�R=O-W�,Perr,'rilt far new constructlao, `
<br /> . ��,-�,..Minlmum�,tenr(,1,0);,woriiing;daysrafter�sutim�ftal`"d`ak"e.�:Required"onslte;iConsfiiucBon�Rlans;`$tortnwate�Plans�w/SIIt Fence installed,
<br /> �J.'�`.Santfary�Facilfdes,.&r:1=.dumpster>_SRe•Wor1c.�P,ermit�orsubdtvisions/large'ptnJecCs,.� ::�::.:;. ' ' -. ` , ` �`' � �_ ,
<br /> CQMMERCIAi. Af#ach{3)�eomplete'sefs cf�Buit�ing Plans plus a�I:ife Safefy Page;{'f)set of Energy Farnts.R O-W Permii for new cons6n�c#ion.
<br /> Minlmum ten(10)working days after submittal date. Required onsite,Construc8an Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary FacUitles&1 dumpster.Slte Work Permit for all new:proJects..All commerGal requlcements,must meet compllence
<br /> Sl�N PERIY�IT Attacta(2}sefs of�Eiiglneerec€�Plans.i�. ..��. � - .. � -
<br /> •••«PROPERTY SURVEY r uired,for all,.NEW_construcUon.�
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<br /> D1�eCt10fl8: _.'�". , _. � �. '
<br /> FIII out appiicaUon completely.
<br /> i Qwner 8 Gantractor slgn back of appi(catlon.notatized
<br /> � If over 52500.a Notice of Cammencement 1a cequlred. (A/C upgrades over�7500j
<br /> ' -:::�,.:;�h,Y::;,,�.: .. _ . ._. ' -
<br /> `* Agent(for the oontractor)`or"Powe"r ofAttiamey(fci�tFie owner)would be someone with notarized letter from owner autho�izing same
<br /> t3VER THE COUNTERxPERMITTfFtG... -__-.(Front-of-APPllcation-Only}._ .�. _� . , -,
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> Drlvsways-Nat over Caun#er if on pubiic roadways..r'ieed"s ROW ' " - .
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