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813aeo-oo2o City af Zephyrhills Permit Application Fax-813-7eo-oa2�
<br /> Buflding DeparUment `���
<br /> oate Rece�v,ed ,1",� f f :: �hane�Contact�for+Fermittin 1� � t –��J
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<br /> Owner"s Name 1 er..b4 Owner Phane Number � �;� r�,',,,�/ !-
<br /> Owner's Address aJ r"a� * 1"=�–�� �owrnar Phone Numb�r � �
<br /> Fee Simple�TMtleholder Name Y • Owne�Phone Number �
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<br /> Fee Simple�Titleholder Addresa
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<br /> JOB ApDRES3 �� t �� � � �C��``� ��-��� 12-- LOT# �__i��
<br /> suBa�v�stoN � � PSIRCEL.ID# t`,�2�0 �- `�1�QC� C3 — 'r7G�--t��lt�3
<br /> . (pBTAINED F,ROM,PROPERTY?AX NOTICE)
<br /> WQRfC PRO,PQSED ,NEW CONSTR ADD/A�T � S1GN Q �Q DEMOLlSFi
<br /> � e. INSTALL 8, , REPAIR
<br /> PROPQSE[3_U$E . Q SFR Q COMM [� OTHER �
<br /> TYPE OF CONSTRUCTION Q BLOCK " [�` FRAME � Q_ `STEEL Q -
<br /> DESCRIPTIbN OF WCiRK � �++�-��-�=�`•� �'' S��� 1a ►�-�. ("c7c�wC� Go����,
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<br /> BUIIDING 81ZE` �� �'SQ�FOOTAGE C_� > ,NE[GHT �
<br /> QBUII.DING $��Q �+, �AIUATiOt�t�(3F T01'AL C�NSTRCICTION � , ,
<br /> QEL.EGTRIGJIL ,�—�� AMP BERVICE. ' 'Q PROGRESS ENERGY Q, W.R.E:C.
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<br /> OPLUMBING- ;�� ' �
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<br /> QNIECHRNIGAL ($ — � VALUATiON C?FiMECHANICAL,INS7"AlLA7101�f.
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<br /> OG/!�S Q ROOFINCs .[�,. 3PECIAI:TY,,�_3; OTHER
<br /> FINISHED FLOOR ELEVATIONS r�� F�OOD zONE AREA QYES. NO
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<br /> 8U1�DER i COMPANY'� '
<br /> SIGNA►TURE REGISTERED Y/ N FEE CUi2REP Y/N
<br /> Addre�s � � Licsnse# � I
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<br /> E�ECTRICIA{�1 , COIWPANY � � �
<br /> SIGNATURE � REGI3TERED Y/ N FEE CURREk�' Y/N '
<br /> Addre� ` • License# i - �
<br /> PLUMBER�? GOl4�PANY � , " = .:� , �
<br /> SIGNATURE �REGIS7ERED� y �Y/.N� ,-�FEE CURREA Y/N '
<br /> Address � . , ,,_ . . `� .License#� ._ �
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<br /> I� l4AECHANtGAL' _ C{}MFANIt, ir � � ' �._.
<br /> �i SiGNATURE - ` tiEGiSTEREo � . Y./.N,., ; FEECURRE� Y�/•N
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<br /> � Address� , � License# � M�
<br /> OTHER - . . ;.CONIPANl( ,����C.�-�Y-•- t� ��--n� �
<br /> SIGNATURE '' �` . " �REGISTERED Y/ N_... � FEE CURRE� ~ Y N
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<br /> Address :�:r� �t�• ii��►J+a �33.5� - - " -Ucense# ��S��S� "�`
<br /> , .4.... .. , e .->. . r. :. . . � '
<br /> RESlpENTiAL" :Attaoti�(2},RtotP..iaiis;..(2)sels�ofBulliltng�Pians;'(.1)setafiEriergy�Faiins;ftA�W;P_er�nitfornewconstrucUbn,
<br /> _ :,Minlmum;.ten;(�1.0);wortiing"days,after>"subr`iiittal'datet'°,Requireil onslfe;:Can§tiuctiori�Pl�ans;$tortnwateYPtan`s w/S11hFence lnstalled, '
<br /> � ' �~ Sani'taryFactltUes:&;;1;dumpste_r,_Site•Wq,tk�Permitforsutidivisions/large;projects` ' ,- � �. ��� �� •�°
<br /> COMOAEE�CIAL Attach{3)�asiz►'plete"sets of"Bailding f'lans plus a+l.if�-Saf�i#y Page;(1)s�t af Energy Fotms.R-C}W Permtt#or newr canstcuctlan. -
<br /> Minimum ten(10)woricing days after submittal date. Required onsite,ConsUucNon Plans,Stortnwater Plans w/Sflt Fence installed,
<br /> Sanitary Fadtitles&7 dumpster.Site Wprk Permik for ail new,projects..All commercial requirements_must meet compllanca �
<br /> S1GN PERMIT Attat�{2jsets of Engineer.ed�Plans.: . ,�; -` ," •-
<br /> ••"'PROPERTY SURVEY reguirecl for all NEW cons,tructfon. -
<br /> Dlrectlons: • . . ;
<br /> Ffll out applicadon completely.
<br /> 4wner&Contractor sign back of applicaflon,aotadzed
<br /> If ovar�2500,a Notice af Commencarnent is requirad. (AtC upgrades ovar�T500) ,
<br /> :� fi.,.
<br /> " Agent(for the contractor)ar Power of Attomey�(far tfie owner)woultl be someane with notarized letter from owner autho�izing same
<br /> OVER TtiE COUNTER RERMF'fTlt�G {Front af•ApplEcatEan Only)a �
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) ,
<br /> Driveways-Not aver Counter.if on publlc roadways..neads ROW - �• --° - • �` �" " ' �
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