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813-?80-0020 ' City af Zephyrhills Permit Application Fax-813-780-0021
<br /> �, + Buitdtng Department - '
<br /> Date Recelved = pl�one�Cdntact-for Permlttin �+�� ' ! 8�-- -�.��1�`
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<br /> Owner's Name /��..f �Q �� �'4✓��/ L Owner Phone Nurr►ber s'���
<br /> Owner's Address `3�� � � ���� Owner Phone Number � �
<br /> � � - �— �
<br /> Fee Slmple;Titleholder Name ��— � Owrner Phone Number
<br /> Fee Simpl�titleholder Address
<br /> JOB ADDRESS � ��O Go LrO/i/�d /2- LOT# C�
<br /> SUBpIViSipht �! � PARCEI.ID#
<br /> � , (OBTAINED FROIYI PROPERTX TAX NOTICE�
<br /> WORK PR4POSED NEW CONSTR ADDlA1:T Q SIGN'` �Q � [� � DEMOi.tSH
<br /> ';e INSTALL 8' REPAIR ~
<br /> PRQPOSED;USE Q SFR- Q 'CC1MM [� �OTliEt2 � . .
<br /> TYPE OF CONSYRUCTION [,� ' BLOCK " [,� FRAME [,,,�' STEEI. Q
<br /> DESCRIPTION OF WORK .. ,�i /�/'"Z .� � 'S�. G"1� K�'O� /S)N*�L.S�
<br /> BtiILDING S12E ���� SQ FOOTAGE C� , � ,HEI,GHT�C,�� �
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<br /> �auE���v� $ ,,, DD° v.,, _ .�.. �..�.. . _.-
<br /> ��j VALtlATION;OF=TOTAL CUWSTRIJCTION �
<br /> L_.�, . ' _ �
<br /> QE�ECi'RICAI $ , AMg SERVICE Q RROGRESS EI�fEaGY Q W.R.E.C.
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<br /> QP�UMBING 'r> �{ 1 - �
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<br /> QNIECFiANlGAL `� � VAl.liAT10N OF;MECNANlCAL tNSTALU1T10N �f l}� J�
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<br /> QGAS [� RQOFfNG ;Q SPEClA�TY-� QTH�Ft�
<br /> FINISHED FLQOR ELEVATIONS ��� FI.00D ZONE AREA QYES. .IVO
<br /> BUILDER ��...--- caMpa�nr tStJrt�'s.rL ':d�'I' /l `.t ���' A'�"�-"G eX�./�
<br /> SIGNATUI3E REGISTERECI Y/ N Fee CUR�n ' ' Y/N" .
<br /> Address � CtCense'#'� �
<br /> E�ECi'E21C1AN. . . COMPANY ' _
<br /> SIGNATURE � REGISTEREp Y/ N F�cuFt���' "•Y/N
<br /> Address � � -, License# �.'- i
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<br /> FIUMBER` •�CCiMPANY �.:,4 `
<br /> SIGNATURE' " REf31ST.EREp� Y./..N i - :FEECURRE� Y-/N
<br /> Addre�s � Ucense,# � � �.-
<br /> MECHANICAL' � - GQMP�WY � .
<br /> �SIGNATURE� ' � � " ' ` REGISTEREp� Y,/ N. , ,- j FEE CURRE�� . Y,/'N = , ,•
<br /> Address��- "- ` , , f �, i �. License# �. !� -
<br /> OTHER ,., _- } �- � ' ��"COME�ANY _ � .
<br /> ,� SIGNATURE -. �' i'�� � � ^ '' " REGI$TERED ' � Y/ N....= FEE CURFtE� Y/N- i
<br /> f Addrsss - .t'; � - . �, � ` ' Licen'se# ' , , . � ?
<br /> 3'^,,-_..a_. 4s�,;�,� . �
<br /> REStDEMTlAi:,, •Attacti'{2}rPlo#�Platt's;."(2)sets:_af:BultdlrtgPlaiis;(1)=setiaf-Energyi�Faiats;,R=O=W`Pemiitfarnewconstruc�an, . -
<br /> • , . .. ,.=_ . . - -,t�� .-,;.� :.. . .. , ;r.. _
<br /> - •• Mlnimum;ten�(10)�working days;atter;submlftal date:;:Requlred onslte;;ConstiucNon=Flans;°Stormwater Plans w%SUtFence installed,
<br /> "�^� `Sanitary'Facilt_yes,�&s,1.;dumpster,=Site Wo�icrPerrnit.far subdi4isions/large.,pro]ects::.,:.:..�. '. ' ' "
<br /> COMMERCIAL A##ac�{3)�c6mptefe sets'of�Biiil'cling`Plans�ptus m E.if�Safety Page;{1}set af Enecgy Farms,R-Q-W Permt#for naw constnsc�lop.
<br /> � Mln(mum ten(10)working days after submitfal date. Required onsite,ConsUuction Plans,Stormwater Plans w%Silt'Fence installed,
<br /> Sanitary Factlides 81 dumpste�.-Site.Work Feimit tor all new�proJectsc All commerGal requlrements.musf ineeR compltance .
<br /> SlGN PERMIT Attach'{2)sets af Eitgiiieer.ed�Plans:,;,,:�� � . -. _ . ,
<br /> "`•PROPERTY SURVEY reguired_for all NEW„construcBon.. ,
<br /> D3rectlons: �• , ,- ._ ,.,
<br /> FIII out applicatlon completely.
<br /> O�vner&C,ontractor sign 6ack of appltcaUon,notarized .
<br /> if over 52500,a Notica of Comrnencement is required. {ac�agraass over s�soay
<br /> .. ....,,,r:..;.z.,,
<br /> Agent(for the contractor)or'Powe�of Attomey(for tFie bwner)�would be someone writh�notarized letter from owner authorizing same
<br /> OYERTFtE•C{itlFtTER.PERMiTT'fNG� ---. �(Front-af-ApplicaSan Only}- '
<br /> Reroafs if shingles Sewe►s Service Upgrades A/C Fences(Plot/Survey/Foatage)
<br /> Orivewaya-Not over Counter if on public roadways..need`s ROW' �
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