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� a�saso-ooaa City of Zephyrhills Permit Application FaX-s�saeaoaz�
<br /> � Buf}d9ng Department - �'�
<br /> aate Received : pttane-Conkact for�Fe�rrilttEn ' _ ,
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<br /> Ownar's Name Ow»er Phoz�e Nurnbar
<br /> Owner's Ad'dress Owner Phone Number �- M1�
<br /> Fee Simple iTitleholder Name �I � Owner Phone Numbe� � �
<br /> Fee Simple�Titlehold�r Address
<br /> JOB ADDRESS LOT# C_,�
<br /> SUBDIViSION � � PARCEI.ID# `
<br /> � . � (OBTAINED F.ROM PROPERTY-TAX NOTICE)
<br /> WORK PROFOSED �_NEw CONSfR , ADDtAI.T � S1GN" � [� DEMOl;ISH
<br /> . e. INSTAI:L 8� REPAIR �
<br /> PROP05ED-U$E Q SFR. [,� 'COMM C� OTFiER
<br /> TYPE OF CONSTRUCTION Q� ' BI.00K " [� FRAME � �[� ,STEEL Q
<br /> DE3GRiPTION OF WORK ` � '
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<br /> � _ . ��- - � ��� .,
<br /> BUlLDtNG8lZE SQ F001'AGE HEIGHT .
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<br /> D�U��"����' �� VALUATION:t,�F�TO't'ALCONSTRGC'i'IOIV `� �
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<br /> QEIECTRICAI. �' � AMP SERVECE Q PROGRESS ENERGY Q W:R.�.C.
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<br /> oP:��Bl�� ,�,._ ,_ �� � - �
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<br /> QMECHAt�tiCAL $ VALUATtON OF MECHAN1CAl INSTALtATI{?N
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<br /> OGlRS Q ROQFING [� SPEGtA�TY, C,� OTHER• � . -
<br /> FINISHED FLOOR ELEVATIOPIS �� FLOOD ZQNE AREA QYES. rN0
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<br /> 8U1�DER COMP%lNY� . , `_ .. . '
<br /> SIGN/�►TURE REGISTERED Y/ N FEE CURRE� ' ' Y/N
<br /> Addrsss Ctcense#'�� �
<br /> ELECTRtC1AN; � COMPANY ' . _ �
<br /> SIGNATURE '� REGISTERED Y/ N FEE'CURRE� `• � Y/N '
<br /> Addres� ` - • � � , ; . . License# � �
<br /> PLUMBER :� � ,�i , COIYIt�ANY �! _ � ,. � �
<br /> SIGNATURE' � REGISTERED . Y./�.N.k ',: ,FEE.CURREK " Y-/N, � ; '
<br /> Address . - . . • ^�Ucense,#��-- - _ �a�.
<br /> MECHRNIGA[: . � . . CQMPANY � . -° '
<br /> SIGNATUItE� , ' ' - , . � . � . �S: .
<br /> �REGISTERED . Y,/.N FEE�CURREn. �Y/�N. .
<br /> Address .'_ . , • � ' , ' _License#i� � �
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<br /> OTHER - • , _ , , ;CONtPlii±lY� , , '
<br /> SIGNATURE �• - � � • � � � A``REGISTEitEo`� Y/ N,.- h�E cutt�� Y/N .
<br /> Address , . �`.r. �� .�� - • : . . . �, , _ license# �� - � �
<br /> �:_.,�� � . .
<br /> RESlDENTlA�,, , :Attach;{2},Atot;:Plaris;.(2)seis:o#�Bullifing�'Ptan"s,'{1)'s''ef of-.Energy�ortns;r R-O=W�Ferm,it for new construation,, , �
<br /> �-� Minlmum;len�(1,0),wrorking;days;.aft%ir;s`ubmlftal'date�'Requlred onslte,:Gonstiuction�Pl'ans;'StomiwaterrPlans wl SIIt Fence tnstalled,
<br /> "'� `Sanl4aryFacllldes.&r,l:dumpste_r,.Slte:Work�Permitforsu6dlvislonsJlarge`.proJects�:._,r�;:. ' � ��� �
<br /> GOTdMER�E�i. Attach{3)taomptete'seCs of Bull�i�g Plan§:plus a�t.ife Safe#y Page;{1}set of Energy Farnts.tR t?-{lU Petmit far aew canstnsctlon. �
<br /> Minimum ten(10)working days after submlttal date. Required onsite,ConstrucNan Plans,Stormwater Plans w/Sllt Fence Installed,
<br /> Sanitary Facllitles&1 dumpster.Slte Wark Permlt for all new�proJects..All commerclal requlrements,must meet compllance -
<br /> SlGN PERMlT Attacfi{2)sefs of'Englnee.r.ed=t?laiis..:;�.:ry4;:� �,. � ,. , : � -
<br /> "'"PROPERTY SURVEY reguired for_aII�NEW canstrucUon._
<br /> Diractlans: ,. . _,:` .: ._ _ '
<br /> Ftll out applicadon completely.
<br /> Owner&Cantractor stgn back of appl(catlon,notadzed
<br /> !f aver b2S00.a Notice of Commencement ia requirad. (A/C upgrddes ovet 37500)
<br /> � . �;.�;�x��,= � �. . -
<br /> i `" Agent(far tFie contraotor)`or'Powe�of Attomey(for tiie owner)would be someone wlth notarized letter from owner authodzing same
<br /> ' OVER TFlE COUNTER.PEitMIT7iFtG-. _.._:_(Front•of-APPlication�Oniy}-- . � `
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)
<br /> Driveways-Nat�over Countar if on public roadw+ays..needs ROW��
<br /> •.i.aqMw=:Js++aNtx(AR?a.^,m.tm�sta'iaW o.a v�.^ro.s»tiu'4r,-s�a.•rc.�r.:
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