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813•�saooao City of Zephyrhills Permit Application Fax-813-780-0021 �
<br /> Building Department _ ''�
<br /> Date Recelv,ed =pi�one�Gontact for�Permtttin '
<br /> Owner's Name Owner Phone Number
<br /> Owner's Addres� �'.<. Owner Phone Number �� �
<br /> Fee Simple TItleHolder Name 'Y • � Owner Phane Number �� �
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<br /> Fee Simple Titl�holder Address
<br /> t ZC'���,t�-��t �rZ LOT# ��-
<br /> JOS ADDRESS ��Q i cS�• c�' ,
<br /> SUBDIVIStQN � � PARCEI.td# � �
<br /> ; � , , (OBTAINED FROM PROPERTI!TAX NOTICE)
<br /> WOF2K PROFOSED , NHW CONSTR ADDIALT C� StGN� Q � Q DEMOLlSH
<br /> ° ,:�, INSTALL 8 REPAIR -
<br /> PROPASED:lJ$E - , � SfiR � COMM Q �C?THER ' '
<br /> TYPE OF CdN3TRUCTION" -- Q � BLOCK ' Q FRAME ��] STEEL Q �
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<br /> DESCRIPTIdN OF WdRK `�.'.� ��tt �tl t�GC /1C�? � � W /�+ ,
<br /> Btlt�DlAIG S1ZE� � �`SQ FOOTAGE�. NEIGNT��� ..
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<br />') QBI,'1l�DIf+fG $ e.et _ - .
<br /> o (,1�,,.+� � VALUATlON't'3F`T01'ALCONSTRI'1CTI�Di�1 "
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<br /> QELECTRICAL , ($ ' � AMP SERVICE Q PRG?GRESS ENEl2GY Q "W:R.E.C.
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<br /> [�PLUMSING ^� � "� ��
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<br /> QMEGHANlCAL $ ' YALUATION OF'MECHANICAL fNSTALLATlQiV_ �'J����
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<br /> [�]GAS Q ROOFINCi _.Q 3PECIAL'F'Y � -OTHER� a -
<br /> FINISHED FLOOR ELEVATIQNS ��� FLOOD ZONE AREA [�YE5 _ .,NO �
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<br /> BUELD�R j ` �� COMPANif�� � ���(. ��'�, ��1 �`�'
<br /> SIGNATURE REGISTERED Y N �E CURttE� ' Y/'N : '
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<br /> Address '�`}'r�a �� ^a�S' f - • � Ucense# �_����"���C��
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<br /> ELECTRIC,IAt+t; � < C�MPANY- �
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� ' ` �'Y/N
<br /> , A+ddre� - � _ . , . License# (:� � � ' �
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<br /> PLUMSER , a ,: CONIPl�NY ,.. :' ' ' ,
<br /> SIG�tATURE " ,REGIST,EREU; Y�/�,N`� ,FEEnCURRE�' Y°/N: - _ �
<br /> lldtlr68s . #� ., ° . lIC@TtS9,#�C.�.�.^^ .j. .. , --� .
<br /> MECHANlG,AL` � , �, . , GQMPANI(, ' ' , '.'- -� , , '
<br /> SIGNATURE� " „� �REGISTERED ,� ...Y.,/.N. �E cutt���, Y/-N. - �
<br /> Address` • � , ... ` � ' , � = y ` � ` license#�� �
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<br /> OTNER , . � ' � � ,COM.PANY�� '
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<br /> SIGNATURE' "�� ` `� '�� � , `` ,`'� : "� P Y' �REGISTERED � ' Y/ N...=� FEE CURREh Y L N
<br /> 1�►ddre�s` � . � ,. , � . - ' L"icense# �� ' ' ' "�� �. ,
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<br /> � FtESlRENTIA��:�.• :Attaeti'(2).P-,lot;P,lan'st,{2)§eis`tifzBuliding,'Plaii"s;(1)`sef aF-�Energy�Faiins;-f2=tl�1N'Perinit far new construotiosi,_ ,
<br /> �- ;;-c y y�: Minimum,ten°(1.0);woricing�days;after�subm(ttai date.�:Requi�ed onsife,�:GonstiucBon=Pians;•Stormwater Plans�wi SitYFerice instailed,
<br /> � Sanftery FaGitties:&;;1,dumpster.Site°WorlcFPermit,#or sutidiVisions/large.,prnjec�s_�:_ :��- ' ' � '�" ` ` �'� `
<br /> COMMERCl�L Att�tch{8j'comgieie`se#s"of`Buiitlfng Plans pius a Ufe Safeity�Page;{1}set of Energy Forms.R-O W Pesmit for new car►structton. '
<br /> Minimum ten(10}working days after submittal dake. Requlred onsite,Construction Pians,Stortnwater Plans w1 Siit Fence instailed, ,
<br /> Santtary FaciliNes&1 dumpster.Site Worlc Pertnit for all new,:projacCs..All commerctal requirements.,must meek compllance � '
<br /> StGN PERN!!T Attarfi{2}se#s of Eiig`it;ieer.edFPlans.:.<..;:='�: �... _- " - � _
<br /> ••«"PROPERTY SURVEY reguired for.ail_NEW oonstructlon., . -.
<br /> Dlrectians: - - - _ �
<br /> Fill out applicatlon wmpletely.
<br /> Gwrner&Contractor sign back of appltcadon,notaeized
<br /> If over�2500.a Noflce of Cammencemen#Is�equired. {A1C upgracles over�750Q) ,
<br /> ew �� 'k:L'�s '.
<br /> Agent(for the conhactor)or Power of Attamey(fbr Uie�owner)wauld be someone w(th�notarized letter from owner authorizing same
<br /> OVER'i'HE CC}UNTER.PERMIT7'iPit3 -(�rant of ARPlication-OniY) = �.
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faatage)
<br /> _ ,_ . _ . � ._ . =.4`
<br /> Drivewsys-tVot over Gounter if on publlc roadvirays..iieeds ROW"
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