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' s�saao-oo2o City of Zephyrhills Permit Application Fax 813-�so-0021
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<br /> Building Department `"�.
<br /> Qate Recelved -
<br /> Phane�Cantaat far�Pa�rntttln �
<br /> qwner's Name � �l �'N Owner Phooe Number J!�~ ( t l� � l 'f �p
<br /> Owner`s Address , �� �.(� V `� • 6� � Owne�Phone Number �� � �
<br /> Fee Simple�TItleFiolder Name � • � Owner Phone Numba� `� "�
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<br /> Fee 3lmple Titleholder Addresa
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<br /> JOB AClt3RES8 LOT#
<br /> SUBDiVtSION � � PARCEL tD# -
<br /> j • , , (OBTAINED FROM PROPERTI!TAX NOTICE)
<br /> WORiC PRBPQSEQ L NEW CONSTR ADDIA�T � StGN' Q ``Q DEMOLISH
<br /> � �.e, INSTALL 8 . REPAIR x
<br /> PROPOSED=USE - . •� Q SFR- Q 'COMM Q -UTHEF2
<br /> TYPE OF CONSTRUCTION' �]' " BLOCK " 'Q FRAME � STEEL Q "
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<br /> DESCRIPT{ON OF WORK-� �"��+ �''��` S� �� � .,
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<br /> BUILDING SIZ� . ., � SQ FO07'AGE HEI.GHT ._ .
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<br /> �����'d���' �� VAlUAT10N�{OF TOTAI.CONSTFtt1Ci'IOI�! � "`
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<br /> QEIECTRIGAI. '),��� AMPSERVICE Q PROGRESS'ENEFtGY Q 'W:R.E:C.
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<br /> QPLUM8lNG� •`� �
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<br /> �]MECSiANlCAl. $ VAIUATlON OF'MECl1ANiGAt.iNSTA�LAT30iV ��
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<br /> �]GAS Q ROQFING ;Q SPEGIA�TY,:� � -OTHER� - =
<br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QY�S. :NO ,.
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<br /> au«a�� ' ��zi� coMPi�r=� . , ; . .
<br /> SIGNATURH REGISTERED Y/ N FEE CURRE� " Y/N'
<br /> Address . " Cicense# � i
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<br /> E�ECTRtCFA{�!. �_ - , . CflMPANY' �
<br /> SIGNATURE � REGISTERED Y/ N FEE'CURRE�`" '' 'Y/'N .
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<br /> Addre�s + ' , y 5 License# � � � �
<br /> PLtlMBER ; . COMPANY�::,.;� � ' : ,
<br /> SIGNATURE ' _REGISTEREO.. Y../,.N.! - ,FEE CURREtc Y-/N:.�' - �
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<br /> Addcess License,,# � _ �-�
<br /> MECHANlCAl. ' - - � � COMP1tA1Y -} � � - _ , .1 �
<br /> - ,>_ ; :.:.. ::�- < - :. . .. ,..v.=... <
<br /> �IGNAYURE ' ' , " ` . , REGI$7ERED ; . '..,Y..J.N. . . FEECuwtE�:. . Y:/rN •-
<br /> Addra�a� � : . - � ° � - _ License#+�^..-., 1
<br /> tlTHER ; ' � , . ,:CONtPAi!1Y y - - .
<br /> $IGNATURE `-`�,. , '; °� ,=.: ''` �, ; .�,", ' � " �`REGISTERED J" ' ' Y/ N:.'� FEE CurtREn ' Y/N. . -
<br /> Address ` � _ �icetise#�� � � A�
<br /> � ,.., _ .,�.,. .. � '�;n^ '; -_. .�y,.,.�,rc,.,. ., ,;. ., .„ . _: .. , ...- • ,
<br /> RES4DEN'i1Ai:.,;�F .Attadi''{2),;Rtof P...lans;(2)sets=bffBuitding.Plaiis;`�(1)sef"ofsEnergy�Fo'riims;�R-O�W:Peirsmitfar new constcuctEan,.., � ' '
<br /> _�, �:� Minimum�.ten;(�10);woricing�ciays„�after;:submiEtat�data.�R`equired ons(te,:Con`stiucBon`Rians;Stortnwater Pian's w/Sht�Fence instaDed,
<br /> `�f 5anl�a' FeclliUes�&t1�,dum ste_r,�Slte�Work.:P,ermitfor,sutidivislonsAa e.,ro ects--i..,,%::�• , � `���"��-�• `?: � =' . •
<br /> rY _ , ,.. �p 1. _,:.�•,,�;_ . _. �9; p.,1. ...�
<br /> COMMERCIAI. Attach{3}=c6mpEete'seis of�Bu(Idirig P1ans'plus a"I.if+s S"afeety Page;�(1}set of Energy Fonns.R t1-W Permit for rtew_conshvcfian.
<br /> _ _ Minimum ten(10)working days after submlttal date. Requfred onsite,Construcdan Plans,Stortnwater Plans w/Sllt Fence instelled,
<br /> Sanitary FaclliUes&1 dumpster.Site Work Permit fur all new,projeots.All commercial requiremen�must meet compllance �
<br /> S1�N P�RMIT AttacFi(2)"sets�of Engineered;Plaiis.� �,�.;:: � � .
<br /> ••""pROPERTY SURVEY reguired,for all,NEW construction.. - � �
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<br /> DtiactEans: .-. � .
<br /> Fill out appflca8on completely.
<br /> Owner 8 Contractor sign back of applfcatlon,notadzed
<br /> If aver�2500.a Natice af Commeacement Is r+aquired. (J4lC upgrades over§7500j .,
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<br /> `" Agent(for the�conkrector)or'Power of Attbmey'(far�tFie owner)would be someone wfth'notarized letter from owner authorizing same
<br /> S3VER TFiE CQUFiTER.PERMI'1'TING- -(Front of APPlicatton-Oniy)t . .
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)
<br /> Driveways-Not aver Counter if on pubtic roadways..need's R8W
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