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813-780-0020 City af Zephyrhills Permit Appiica#ion Fax-813aso-oa2�
<br /> , • Building Depactment � �
<br /> t?ate Recelved �- Phone�Carrtact•for.Permltt�ii '` .� J� ��C� - � �'{� '
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<br /> Owner's Name �� Owner Phane Nunnber � '
<br /> Owner's Address �-I G`� � ' � Owner Phone Number � �
<br /> Fee Simple iTitleholder Name � � � Owner Phane Number �
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<br /> Fee Simple.Titleholder Addresa �
<br /> JOB AbDRESS � � ! Z �,�.�Q,�F�: '^ LOT# ��
<br /> SUSD1VtS10N � .� � PARCEL iD# � — c�k �-1"`C�d�C� � dC1 OC`�t��C.�C�vrt�
<br /> , (OBTAINED FROM.PROPERTI!TAX NOTICE)
<br /> WORK PRQPOSED_ NEW CONSTR ADDtALT �� C�` S[GN � � � DEMOLISH
<br /> •e. INSTALL 8� REPAIR �
<br /> PROPOSED,USE . � Q 3FR [� `C{�MM � �� �OT!-IER' - � ,"
<br /> TYPE OF COWSTRUCTION' Q� -''BLOCK " Q FRAME '� �_ .STEEC Q
<br /> DESGRIPTIOH OF WORK � YS l� � O�CL� 'Q��'
<br /> BUIi.DlNG SIZE"� = �' SQ_FOO'TAGE��_�, > _NEIGHTµ�� a,
<br /> , . , y ,,
<br /> QBUtt�QING r$ �, � � ..,�.. . .._ .,� •
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<br /> VALUATtON"O`F TOTAC`CON�TRUCTION ` `
<br />' QECECTRIGAi. � � AMP SERV{CE Q 'PROGl4ESS ENERGY Q "W.R.E.C.
<br /> OPLUMBING J��� _
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<br /> QMECHANiCAL �$� ' ' � VALUATiOlV OF;MECNANICAI.ENSTAlLAT1UN ��� -'J�t�
<br /> ` L.____.___ ,,�� �t�
<br /> QGAS � FtQOPiNG .Q SPEGlAl.TY [� OTHEi2�
<br /> FINISHED FLOOR EL6VATIONS FLOOD ZQfVE AREA QYES ,NO
<br /> k � .
<br /> BUICD�R COMPi4NY ` ' ` ' '
<br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
<br /> Address ° Ctcense# � �
<br /> ELECTRICIAt{i: � � . - - . COMPANY
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE�° Y/N
<br /> Adciress : . � , � _ ' . -. License# �• �
<br /> P�UMSER,` . COMFAt+iY� . - f - � '�'-
<br /> ,. , .. .� : ; , >_� `� :r:.:;�,�t
<br /> SIGNATURE'' "" " q, _�REGISTERED 'Y./,.N wEEECURREI� � � ' Y�/.N ' . �
<br /> ;,r,�•-� -� ,.. �� .. . �
<br /> Address - '. .. _ ., .'License;#n�� . `
<br /> :MECFlAM1CAt:� > - ,,. - �` '>;, ' - �COMPANY _ ' ` � '
<br /> SIGNAT.URE �� "'� `'a�� � ��# ' � s REGISTERED , Y`/'N. `'FEECURREA Y�/'N. , , i..
<br /> r Adti're8sj�� - . ' ' , , � � � , . L.iCBflSe# � ' � _ �'r�� ���;
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<br /> r �� _ �..�r �CQMP ; �
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<br /> j QTliER .°��.J: - _^t�:�t- ANY � c..�-� tc�ti t VL., f-�S�-� ..5.--n�.-,.
<br /> SIGNATURE' ' ' � � REGIS7ERED , Y/ N .. FE �CURRE� Y.,/N • " ' _ �
<br /> - , Addreas,. ' � 4 ' , . , . , : ,. .. , = tipenset#'��.� �-' ` �"
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<br /> 'REStDENiiAl. Attact� 2,Ptaf�Plans;�2 sets:af'Buildln tPlans;�.lj.setof'Ene : . "` �� , :� ' - �� � � ' .' ' ; � ' �
<br /> { ) , ( ) g . ( rgy�Forms;R=()-W�Perrtiit'fnrnswconstructian;, :. i
<br /> . Minlmum;ten�(�10)<wor'Icing'days:after`,.subrriittai date.'Requlred�on"site;Gtinstruciian Plans;iStortnwater'Plans w/811t�Fence�installed, �
<br /> • Sanitary.�Facllitles:�&;1 Ldumpste.r,�Sife Wo�C;Permit'for suddiv,islonsllarge�p�rojects :. : '. � � : '
<br /> COMMERCIAL Attach{3},cbmplete sets of'Suilding�Plans'pius a Ufe`$af�ty Rage;{1}set�of_Energy Eorins:R-0-W Permlt for new construc�Uon. -�� ' ;
<br /> � . � .
<br /> � , Minimum ten(10)�vrorking days�after,submittal date: ,Requlced onsite,.GonstnicUon Plans;Sforn►water Plans w/Silt Fence lnstalled, � �{
<br /> j . � � 'i� Sanitary.Fadlttles 8�1�iiumpster:Site:Work'Pemrif',for alf+new•projects.All'�commercial'�equlrements must meet'compllanca•- � - ` --; ---�-
<br /> � SIGN PERM17 AttaetiE(2}.sets•of EagIiseened Pl.aiis. . • � , ' " _ _ � � . _ ,� , i
<br /> ��� •"`"RROPERIY SURVEY recjuired for ail_NEW aonstiucUan. � • - - � �
<br /> € `�€�$��ng: �i ` ' ' - �. . `L , �' - - ' . . ` W ; ' _ ' - ' j
<br /> i Flll�outapplicatlon.coinpletely. . � .,, °.` ,; , . .� �, � , � � ' �
<br /> ' , '.Ownet&�Contiackor'sign badc of appllcat[on,:notarized� . ; ; ," , . ' ,� � , i r � . �
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<br /> ? ' If:aver'S2S�O,a;NotEce af Gommencemetif i's'�reyui`red: ,(NG,upgrades'over�S75d0), .,�-� � '- , ���`` . ,
<br /> ��'", �Agenf�(for the,contractor)or Povuer,of'Attomey.'(fnr the.awner)would�be someone with-noterized letter ftnm ownerauthorizing same � • �
<br /> � - _xi �� . , �; • '� . . . - � � � - �
<br /> ; OV�R THE COUNTER PERMITTiNQ' ..�(Fron#af'Apptication=0nly}- .. �. . . , , ,
<br /> ! Reroofs if shingles Sewers �� ' Service.Upgrades i4/C�_ Fences;(Plot/Surrray/Foot�age) � _ - , ' � , �, "
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<br /> tlrivewaya-Not ovec.Gountecif.an�putiltc roadways.:�needs ROW, , , , , �. ,:,;,��;` , „ ,
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