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813aso-ooao City af Zephyrhills Permit Application Fax-813-780-OQ21
<br /> , : Building Depatlment '}�
<br /> Date t2ecelv,ed = P..hone=CoMact far.PermittFn ��� - ,
<br /> Owner's Name T"Y`1�U C�l. O � 2�/1l�W ��N1�1� �0 Owner Phane Humber D (�� ' C¢ � �"'���5
<br /> Owner's Address ����� `�'� � � �(�l S �~'L � OwnerPhone Number ���J' 'y(7"Z� ��7 �So.�, .
<br /> Fee Simple iTltletiolder Name Y�`��a �� Owner Phane Number �� �
<br /> Fee 3lmple Tltleholder Address J�� � . � �,�S C,. �j�J�v 2
<br /> J08 ADDRESS ��'{(3 I "�+ I�'� ir'Y��\S �„� ���',�+'( Z LOT# �I �
<br /> ; � S2 � � /2 �.t - b3o� -�b000-� � te4
<br /> SUBOIViSiON St1�Y"} � �1z(�te ..�- PARCE�tD# ��— �� -
<br /> ' ' , , „ (OBTAINED FROM PROPERTI!TAX.NOTIC@)
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<br /> WORK PRQPOSED NEW CONSTR ADDIAL.T �� S1GN � � C] DEMOLtSH .
<br /> ; INSTALL 8 REPAIR �
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<br /> PROP05ED;USE . Q SPR [� COMM �� O'fHER � �
<br /> TYPE OF CdN3TRUGTION Q' BLOCK " Q FRAME � STEEL Q - `,
<br /> DESGRIPTtpN OF WiJRK' , , O . �-( � ,
<br /> � -� � b si�#�'v�, � �,r�` ��,
<br /> BUI�DING S1ZE `�+� ' 2,� SQ FOOSAGE �� 4 Q _ � HEIGHi' - j 5-{v 1�" �
<br /> QBt!!l.DING $�' ��� VAIUATtdN'.'G'tF TOi'AL CONS7F2UCTION „���
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<br /> QE�EGTf21CAL - , �' � AMP SERVIC� � PRO�RESS ENEFlGY`� Q W;R.E:C.
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<br /> PLUM8ING ' .
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<br /> [�]MECHANICAL ($ �� VALUATION OF MECHAPliCAi.INSTRILATlOi+t, g
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<br /> D�S ROQFING :Q SPECIALTY C� = :QTHER� _ - -�
<br /> FINISHED FLOOR ELEVATIpNS �� F�OOD zONE AREA QYES .�NO
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<br /> B�i�V�R i � � ��MPJ'V7T°� � •
<br /> SIGNATURE REGISTERED Y/ N 'h�E cua�n ' Y/'N"
<br /> Addres� `J .3� �'1`�'� (�.t t � 3 - ltcense# � �
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<br /> ELECTRlCIAN; . � 'COMPAFlY
<br /> SIGNATURE � REGISTERED Y/ N FEE CURREK^�'> 'Y/N
<br /> Address : " ` Ltcanse# ��.� � �
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<br /> PLUMBER '� • COMPANY • „ ,
<br /> SIGNATURE ' REGISTERED.~ Y L,N.� ,FeE cu�tEn Y/N•,- >
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<br /> Addrass . . , : ' , _ . . : .License,#� - �;� .
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<br /> MECHANICEtL' � , COd4fiPANt! - � - . _ ` .�. . . , • -
<br /> SIGNATURE� ' �r REGISTERED � ,,,Y/.N.,�. .�,FEE,CURRE�,:: Y:
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<br /> Address • �� � , . �- - ' ` � :Cicense# �, .-� � ,
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<br /> oT��R ;� � - - , ` � ;co�i�i�+iY � � . � . . ,.
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<br /> ^ ~ ` ' �"' ' REGISTERED Y/ N;..- FEE CURRE� Y/N.
<br /> At#dres� �, �cetise# �_ = r�` �
<br /> RE8lDENTIA�:.;; ;Attacti{2}.,PtotP..lans;(2)sets=of=Biilliding`Plaii's;'(1}set"of='Energ}r��aiis�s;:�R-O=W�Perrtiit�ftir�ew construi�tlon,,. T ` .
<br /> ; N +->-Minimum�:ten.(,1.0)�wortcing,days;,.after:subrinittal d'ate.::Requiired onsite;:Constnictlon=Plans;�Storrtiwate�`Plan's w/Sbt'Fence installed, '
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<br /> W �Sanftary`Facllttles;&„1-,dumpster>31te`�Work,;Permitfor;suti:divislons/large,�projects,�.�,s�:�- _ � � `•"�� ;-•4 ,.' "
<br /> COMMEI2C4Ai. Attach{3)�ciimptete set's"of Bultiiing Plans plus a I.ife Safeify Page;�{1}set afEriergy Farnts.R-O W Permtt far nernr consUuc�an. ;
<br /> Minimum ten(10)worEcing days�af#er submiltal date. Required onsite,CanstrucUan Plans,Stormwater Plans w!SIIfFence Installed, -
<br /> Sanitary Facilitles&1 dumpstar.Ske Work,Rertnik foF all new projects.All commercial requi[ements_must meet compllance � � '
<br /> SlGN PERMIT A#tach�{2)sets of Engineer.ed:,Ftans.��.-< :�. � - ,,. � . -
<br /> "'•PROPERTY SURVEY.required for_all NEW construcUon.., , .
<br /> Dtrectlon�: . - ,. �
<br /> Fiil out applicaBon completely.
<br /> Owner 8�Contractor stgn beck of applfcatton,notarized
<br /> 1#over y2SO4.a filotice af Commencement Is required. {A/C t1i3g�diIBS OVBt 57500� ,
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<br /> Agent(for the contractor)ar'Powe�of Attomey(for�tFie ownerj would be someone with notarized letter from owner authoHzing same
<br /> DVER THE CClUNTER,PERMI'f'I1NG -.:{Front of-ApAllcatEon flnly) .; � .
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plat/Survey/Footage)
<br /> Drlvewaya-iUot over Gounter if on pubiic roadways..nead's ROW
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