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a�3-�saoo2o City af Zephyrhills Permit Appiication Fax-813-780-0021
<br /> Buitding Qepartment Y
<br /> Dats`Recelv,ed �--�� � � Phone:Con�ct for Pertntttin �-���--._
<br /> Owner"s Name � 1� 'r✓� � Oarner Phone Nu er �Q I��� t `���
<br /> Owner's Address �. "�� . Owner Phone Number ��.��
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<br /> Fee 5lmpte Titleholder Name �� • � Owner Phane Number �� �
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<br /> Fee Stmple,tltleholder Address �
<br /> .�aa aa��Ess �` 22.. 4 S �y H� 2 i�` v � 33t� �or# �� �
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<br /> suen�vis�oH �'�`�� �b�cE�.�a# •
<br /> (OBTAINED FRdM,PROPERTYTAX NOTICE) f�
<br /> WQEiK PROPOSED , e _WSTALI.�R 8 REPi4 RT �� SIGN' ' �. � EM�'�°I 1/�����`f,�„�/
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<br />� PROPOSED�USE - Q SFR Q 'COMM � C,� QTHER �'��± s� , �
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<br /> TYPE OF CQNSTRUCTION Q '�BLOCK " �[� FRAME ` STEEL Q
<br /> RESCRIPTiON OP WORK . . �����C-•c�' �S G' Q ' tl�(J i r?�` � ft��� '�` � L��C �
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<br /> BUILOING�lZE /�X�1"i � SQ FOOTAGE �/"T� „- . ,;, ...IiE1GHT k �f{� r.^�� , f�� �l f-� (
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<br /> St1tl.DING � .�}{��� �p�,�ATlfli�!`OF1'OTAICONSTRt7CTION ,"� ._..-.�--'�
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<br /> �'L'ECTRIGAL $ ' AMPSERVIGE " Q PROGRESS�l�lEFtG�j Q 'W:R.E.C. ,
<br />� � f.�[t,j� � ��6/ ,
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<br /> �LUMSlNC'a $ '��'(1 „ �,t,s_ va �,lC..' � � '���`✓
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<br /> QMECHAP!lGAL $ r YACUATIONOP:NIECHANICAliNS7'ALLATIC!!V � /(�/��� [���f1 ��
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<br /> [�GAS Q• ROOF{NG [� SL?ECIALT!��] �` •OTHER �'�'
<br /> FINISHED FLOOR E4EVATIQNS (� �-� FLOOD�ONE AREA QYES. NO
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<br /> ��1�.�}E� � � � � {�.����Y'� .: - - - ...
<br /> SiGNATURE `� REGISTERED Y/ N FEE CURRE� Y/�N`
<br /> Address � L. �". , . Llcense# � �
<br /> ���cT��c�a� icoM��r �tc��--
<br /> SiGNATURE � REGISTERED Y/ N FEE CURRE�� Y/N
<br /> AcidPBSs " ' . l.1Cet1fi@#-� � '
<br /> RLUMBER ; COMI?ANY „3 -_ : �t��.
<br /> SIGNATURE' ' _ REGISTERED� - , Y/=-N�' •FEE:CURREP � � ' Y/N,
<br /> Acldr@�8 �� � � y � - " y � , Lic8tlSe,# � ' -�..
<br /> MECblANlGAi: � G4MPANY .. '_ - � -- .
<br /> SiGNATUPtE REGISTERED_,�� Y,/.N � �.FEE CURRE�.. �Y/�N' -
<br /> Address' _ °� � � . . , , _ ` '� " ,l�cense#��_.�. ,. � .
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<br /> OTHER ; , � . � . ,GOMPANY, _, . � ,
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<br /> SiGNATURE ""- • �``' '•` " ' ' " REGiS7EFtED` � Y/ N,..:' FEE CURRE� Y/IV
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<br /> 1llitdr888 ' � � Llc8ttS9# � �
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<br /> RESIDEN3'IAL,; �Rttacli'2»Rldt�:Ptaris,,2 'sets_of:Bulldlri�tiPians� '! sefaf�Ene. .� ,. "�.;,T,: ;: � • - . .
<br /> ( ) ( } g . �{ )'" rgy>Faiiit's;R=O=W.PerrrilE for new construcqon, _ ��
<br /> , MMimum.ten�(1,0}warking;days',after.�subm{ftal'date.�R`equlred onsife;`Constnicdon Rians;Stortnwater Pi'sns�w%Siit Fence installed,
<br /> �� �Sanitary Facilitles.&1.,dumpster�$Ite WorlcPermit for sutidivislons/large:projegfs � �
<br /> COMMERCIRf. Attach{3}•compiete sets of B'uitcliiig Pians plus a{.ife�Safety Page;�{1}set of Energy Fotms.Et-Cl W Permtt for nexi consttuctton.
<br /> " Minimum ten(10)working days after submittal date. Required onsite,Constructton Pians,Stormwater Plans w!Siit Fence installed,
<br /> Santtary FaciliHes&1 dumpster.51te Wark Permit for all new'�projects..All commercial requirements.must meek compliance �
<br /> 8lGN PERMIT Attac€�"{2)sefs of Englne�r.ed;Plans,,, >..._; , 'r . -
<br /> ""`PROPERTY SURVEY required for all NEW_c�nstructton. - - - -
<br /> Dtiection�: �• • , - - , , '_ . . .
<br /> Ftll out applicatlon completely.
<br /> Ow�er 8 Contractor sign back of appltcatian,notadzed
<br /> {f OYBT�SOO.a Notice of Cammencement ts required. (A►G upgcades aver�T500)
<br /> " Agent(far the�contractor)'ar'Power of"Atkbmey'(for�tFie owner)would be someone with notarized letter ftom owner authorizing same
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<br /> OVER THE Gt}UN3ER.P..ERM1'fTIHG .:{Front of Appllcatlon Oniy)- - `
<br /> Reroofs if shingles Sewers Service Upgrades A/G Fences(PIoUSurvey/Foatage) ' '
<br /> Drlvewaya-Nc#over Countec�f on public roadways.:aeeds RdW � ` , " � � -
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