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� e��-7aaoo�o City of Zephyrhills Permit Application Fax 813-780-ao2�
<br /> Buitding Departmen# . �'�
<br /> Date Recefved �'�,# ' � t � Phone.Canta�for�Perniltttn ��3 3�'� _ 7�1 �--
<br /> Owner's Naine �c^ Y` S c�A.LS�Y-� Owner Phone Number �t J ! � ( �
<br /> Owner's Address J-�(� � � � Ornrner Phane Number � �
<br /> Fee Simple tTitleholder Nama ( ~ � Owner Phone Numbe� �� �
<br /> Fee Simple jTitleholder Address •
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<br /> JOB ADDRESS � P� � I rJ LOT# �_��.
<br /> SUBDIVISidN , �� � - PARCEI.ID#
<br /> # - , , , (OBTAINED FROM PROPERTY.TAX NOTICE)
<br /> W4RK PR4P0.SED NEW CONSTR ADD/A�T C'�` S1GN' Q • Q DEMOLISH
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<br /> e: INSTALL 8' � REPAIR ••
<br /> PROPOSEi3 U$E Q SFR Q COM{V1."' � QTHER
<br /> TYPE OF COWSTRUGTION' � Q� `BLOCK ' Q FRAME ��] STEEC' Q ` '
<br /> DESCRIPTION OF WORK' Vl\\ � �(`�\` t Y��� � V D ��-
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<br /> ��'� �.� � SQ�FOOTAGE��. . HEIGHT��� � k,
<br /> BUILDIAIG S
<br /> QBt}E�DING � S`(7� � � �._...�_�. - "„ `� ;
<br /> � VALUATION:OF'TOTAL CONSTRUCTION �
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<br /> QEI:ECTRIGAL �' �, AMP SERVIGE Q PROGRESB ENERGY Q W:R.E.C.
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<br /> [�Pi.un�si�� � �,� �
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<br /> MECHi�WiCAL $ VALUATtON QF�MECFfAN{CAL li�l3TALiATIQN.
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<br /> C��as 0 �oo�iNG :[� _ sP�cir�.nr ,� om�� -
<br /> FINISMED FLOOR ELEVATIONS r�� FLOOD zONE AREA QYES. .NO
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<br /> BUIF.QER ' COMPi4N1ts , ' �� �` ��G!��. - ' .
<br /> SIGNATURE REGISTEREb Y/ N . � FEE CURRE� ' Y/N
<br /> Address Cicense#'� �
<br /> ELECTRIClJW � 'COMPANY ` - -
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� ' '�Y/N -
<br /> Add�e�'s ` � . . _, , Lioense# l° � �
<br /> FLUM88R '� ' � ' ' , �COM,P,ANY
<br /> SIGNATURE' ' ,_REGI3TERED Y L•N.:. - FEe cut�n� YJ N.
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<br /> Addre�s s .� � - _ .
<br /> � ucense,# �—.�Y - ��,~�:
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<br /> MECHRt+IiGAL: ' ' � - �CQMPI,WY - ` -
<br /> SIGNATURE� ' ' ` � � ' " REGISTERED.�� Y,/.N FEECURRE�;. Y./�N - , -
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<br /> J_ _ ' ._, . . ... ,. . . , .
<br /> Address� - , �` . ° _ . -�
<br /> License# �, ,
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<br /> o.rt���t : .. .. . ';co�ipa�ir � , �
<br /> SIGNATURE' - � -- �° • � '� ' " � " ' REGISTERED� Y/ Nz.., �e cu�n Y/N
<br /> Address, . - . � - . � - _ - ` , , _ _ ticense# � .. ; '�
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<br /> RESlDENTIAl:; s-_AitacF�;{2)„PIo�P..lans;.,(2}set`'s'.ofBulliling?Plans;'{1}set of'Enei+gy�Farms;f R=O=W`Peiin,it for new 6onstructiori,
<br /> , - MinimumYterr(1.0);,working;days;after;submiftal'da#e.:s:Required onsite;GonstiucHon-Rlans;Stormwate�Plan's w/Silt`Fence installed,
<br /> __ �� �"Sanitary Fac1llUes,;&;:1,;dumpster�Site•alVark,jPermitforsutidivlsions!large�,proJecTs', ,�" :�• ` � � `. � " ' . - _
<br /> CQII+lMERCIAL Attach�3}-cor'nplete seEs'of'8tiltclirig'Fiaiis ptus a�l.Ife Safetjr Page;(1)set of Energy Fatms.R-C?-NV Permlt far nev+r canstructlan. �
<br /> � Minimum ten(10)wrorking days after submittal date. Requlred onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facil(tlas&1 dumpster.Site Work Permit for all new_projects:.All commerclal requlcements.must meet compltance '
<br /> SI�H PERMPC Attadi{2)"se#s ofEngiiieeirecf;Plans..;-:-.��-_^,= ,. ->. � - . . - �
<br /> ••'"PROPERTY SURVEY reyuirec!for_aII,IVEW canstructlqn.. -
<br /> , Dlrectlons: . ...�., . - . „
<br /> Fill out applicatlon completely.
<br /> '� Owner 8�Contrackor slgn back of applfcaBon,notarized
<br /> ' If over�2500,a NaNce of Cammencement is reqaired. (AtC upgrades over�T500)
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<br /> Agent(for the contractor)'or"Povuer of Attomey(foir tFie�owner)would be someone with notarized letter from owner authorizing same. -
<br /> OVER't'EtECOUNTER.PERMIITING._.._.. .(�raritof�RPPticatian-Only.)- . . -,,,, � " �
<br /> Reroofs if shingles Sewers Servlce,Upgrades,NC, ; Fen.ces�(P.IotlSurvey/Footage) ., , '
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<br /> Drivewaya-Not aver Caunter if on public roadways..rieed's ROW , •- - • . "
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