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813-780-0020 City af Zephyrhills Permit Application Fax-813-780-0021
<br /> Buitding Qepartmen# . '' `
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<br /> Date Recelvad - Phone�Contact for�Pernttttin
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<br /> Owner s Name �l �1 � Owner Phone Number „_�
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<br /> Owner's Addrass � � �'' d� Owrner Phone Number
<br /> Fee Simple iTltleholder Name � ' Owner Phone Numbe� '�-r ���
<br /> Fee Simpte Tltleholder Address
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<br /> j JOB ADDRESS LOT# �"�
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<br />� SUBDIVISI�N � � RARCEL ID#
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<br /> . (OBTAINED F.ROM PROPERTY_TAX NOTICE)
<br /> WQRKPRO,ROSED NEwCONSTft ADD/AlT � S1GN� Q [� DEMO�ISH
<br /> e INSTALL 8', - REPAIR •.
<br />'i PROPf}SEE?=.USE - 0 SFR. � �COMM [� -OTHEE2 � '
<br /> TYPE OF CONSTRUCTION' Q�' � BI,OCK ' Q FRAME �[�_ STEEC 'C]
<br />' DE3GRIPTIt1N OF WORK y r /�" � � � � `` ��''
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<br /> BUILD1i�IG$!ZE''�� �'$Q FOOTAGE��. ,. _ . HEIGHi'��_� :,
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<br /> ��U���»�' L , � VALUATtO1V:�:1F'TO'I'AL'CONSI`Rl'lCTION � �
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<br /> QEL.ECTRICA� $ ' , AMP SERVICE Q �PE2{1GRESS ENERGY Q W:R.E:C.
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<br /> [�]PLUMSIf+fG ;� � "
<br /> [�MECNANtCAL ' $�� ��_ i VACUATION OF;MECHANIGAt INSTALLRTIt?N ��pJ r
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<br /> QC,AS Q ROOFING .Q . SP,ECIALTY �� OTHEFt�. '
<br /> FINISHED FLOOR ELEVATIQNS ��� FLOOD ZONE AREA QYES. �NO
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<br /> �ui�o�� caM�at�ir-' � . ., . -
<br /> SIGNATURE REGISTERED Y/ N �EE cuartEn � � Y/N
<br /> Acldrass - Llcense'#L'� f ` ' `�
<br /> ElEC'tRtClAi�t; ., - . CBMPANY ' �
<br /> SIGNATURE � REGISTERED Y/ N FEE CURREK^ ��Y 6 N
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<br /> Addre�s y . . �. License# �.
<br /> PLUNISER 'F : �COMP.,ANY �-.,,,�, s
<br /> SIGNATURE' ' " � � � ,_REGISTERED Y,G.N„ .,,FEE CURREK 1Cl N,
<br /> Ac�dress � . - �� . � � - �
<br /> Licerise# _ •�_�
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<br /> MECHRNIGAi: � <. . .. - COMP1,ltiY L!ti!S _ _.�.ch-..
<br /> SIGNATURE� - " " REGIS7ERED,, Y./ N y . -,FEECURRED.. Y•%N. = -
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<br /> ,A . , , � . . 1 � ,
<br /> Addre�s'�� , . , . T . . - License# ��� � .
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<br /> OTHER � � � � �� t - � ':COMPANII. . , ' � ,
<br /> StGNATURE -,:•• , �;... '�: .. _ ....: .�-. ., ; . . �E
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<br /> •- � � ' REGIS7ERED� Y/ N...., CURRE� Y/N ,
<br /> Addce�s. .,- ,`.5,F j`. . -... /' :.- . }; . . .. - ' Licen'se#�) ` ' . - ' . '' '_, �
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<br /> RESIDENTlAl;.1 _�;Attactii(2},.Rliit%Plaris;::(2}sets=of:Balldingft?lans;(1)seEaf-'Energy"=Fartn's'•;�F2=0-1N�Perimiltfornew.canstruction,,, > _
<br /> �_.:Minimum;tem(-1.0),working;days�after,','submlttal�date�-Required onsite;:ConsUiicBon-Rlans;'Stonnwater Pla'ns�w%Sflf Fence installed,
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<br /> ��Sanitary Fa,cilftles-&14,dumpster;Slte,Work;Permit#orsutidtvisions/large=projecfs;Y..-- �� - � �� " � � • � _
<br /> � _COMMERClAl. Attach{3)�aomptete sets of 8iilt�liig Plaris plus a'Ltfe S�afe�tyi Page;{9}set of Energy�Fatms.R-0 W Permtt for naw construction.
<br /> Minimum ten(10)working days after submittal dake. Required onsite,Canstruc8on Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary FadllUes&1 dumpster.Sfte Work PeRnit tor all new�proJects:All commercial requlrements.must meet compllance � �
<br /> SIGN PERMFT Attac�i{2)sets of�riglneer.ed;Plansa:��.-=t��.�� - . .. . . x - " '
<br /> '•""PROPERTY SURVEY required for all IVEW_construcdon. �
<br /> Dtrectbns: , ... ... . .. _� . ,.
<br /> Ffll out applicatlon complekely.
<br /> Owner 8�Conhactor slgn bacic of appl[caUon,notatlzed
<br /> if over�2500,a NoNce of Commencement Is required. (AtC upgrades ovar�75d4)
<br /> M -i., `w{Z.v��;..,.hy � :
<br /> Agent(for the`confraotor)'or"Powe�of Atkomey(fo�tFie ownerj would be someone wiith notarized letter from owner autharizing same
<br /> OVER THE CQ!lFiTER,PERMITT'tNG_._..�_..(�ront af�APplicatton Only}_,.�- ., " " `
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIof/Survey/Footage)
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<br /> Drlvewaya-Not aver Counter if on public roadwayes:.r�ead"s ROW�
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