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a��aao-oo�o City of Zephyrhills Permit Application FeX-813-78Q-0021 �
<br /> Butlding Department i
<br /> Date�teae[ve?d .$'j� ��'t�' ,���'G,Z
<br /> ; �.. :.°.Phane:Gorrtact<for.Pernilttie
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<br /> Owner's Nama Owner Phone Number
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<br /> Owner's Address 8wrner Phone Number �,��.
<br /> Fee 81mpli TfHeholdertName � � • � pwrner Phone�Nuenber �— �
<br /> Fee Simple;Titl�hoider Address
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<br /> JOB/�DDitESS �'' � ,S�G� �� �,%G� LOT# ��
<br /> SUBUIVIS10�i � � P'�1RC�t,ID# �1� ""26- f^.D/O. G!- ObOGr/ �-OC�O G
<br /> � � , � (OBTAINED FROl69,PROPERTl!TAX.NOTICE�
<br /> WQRK�RttPOSED NEW CONSTR ADD/A1.T � StGN° ��, ,Q DEMQLISH
<br /> � � INSTALI. REPiAIR ,
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<br /> FR4POSED;.US� � � SFR. � C{}MM' � C� ,, O.T,HEt2 • .
<br /> TYPE OF CONSTRUCTIO�N ��� -BLOCK '" 'Q FRAIYIE `�: STEEL' �Q � �•
<br /> DES�RIPTICIN OF WORK . � � ' 1��,�� ie='=- �IN � G��jqi� GlN}�
<br /> �7 .
<br /> BUtLD1NGi�iZE �� —�`:�q FOOTAGE�'��; - ,.HEIGHT ��� .
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<br /> �BUI�DING $ ,.. , .. , t_.. . �. . .. � . : - -
<br /> - 2�-,,a � p G"! VALl1ATIOFIA`F`7'OT/1L`CONSl'RUCI'ION i
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<br /> [�E�.ECTRIGAi. $ AMP SERVICE Q PROGRESS ENERGY [� 'W:R,E.C.
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<br /> OF'LUMBtIVG ` 1..... f � - „ '
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<br /> QMIECHA[VECA� $�'� . VAI:CJATtON OF}MECF(A�+lIC1l�[h1STALEAi'ION
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<br /> Q tkC�,S [� ROQFiNG .Q SPECWl.T-Yt.:[�_:, ;dTHER -
<br /> FINISHED FLQOR ELEVATIONS FLOOD ZONE AREA QY�S. IVO
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<br /> BU1I.DEFt i, � � CQMPANY'-.� . G'O I~��G%�'� �Q , , .
<br /> SIGNATURE �'"""� � REGISTEREd Y~ IV FEE CURREA Y/N�..
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<br /> �d��$ - , - Lli�ense#'� �
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<br /> ,ECfCTRICl�!` . - 'COMPANY
<br /> SIGNATUR�- ' REGISTERED Y/ N FEE CURRE�`'' ''Y/N.. '
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<br /> Actdrss`;s,� ` ' .- Ucense#:��. � �
<br /> PLE1WiBER�� . . � GtOiVrPAFI�!' ` ` , . !-� ` ,
<br /> SIGNI�TURE, - `' REQI&TEREp. _ P,Yb/�.,N:� �.r,FEE�CIJJiRED` _Y�/N,
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<br /> Addre�`s ' � , � ' :` � .. ` , .�,.I:ii�ri's.e�#'�� � :�,
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<br /> SIGWI�YURE^ � ' ' ,. FiE13�STERED � Y./,N.-.' " �E CUR��._ Y-/<N , -
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<br /> Addreg�:z'�- t� _ ' , _ ' - License#�+ _
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<br /> SIGNI�TURE ,r�a r �<. ' 'r -� � ° - ' � " `REf315TERED` -- t ``Y/''N.;.::` """FEe CURt��= � Y f N.
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<br /> Addrea��. ., :< ;;.. :� ,;, ;. ,,, = � ._'-�' = '' - �Llcense#,{' . � : � `, �
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<br /> .,RE8lDEWi1A1:,���;Attaoti�{2}„Plof°Plaii's��(2}setsof�Bnl'tding�l?lar`i's;�{1:}setofsEaergy��ar'ms;�FtA�:{?V°Periitlt�tat�aw°constructlon.- . �
<br /> , ���y.Minimum ten(10)u+rorlcing4days�after,xsubmlttali#ate;;Required anslte ConstrucHon'Plans;Stomnwate�'Plan's•wi/SIIt�Fence installed,-
<br /> "� �° SaNiary Faclliyesr&1�,dumpster 51te W4rk Perrnlf fur.subdivi'siotis/large���9ects ::>k,; .;-.�`�._. �.s�,;':� " :_. � :, - ., - --
<br /> C�MMERCtAL Attach{3),c:aritp!'ete se�'s'bf�Biiititing-:Plaiiis pliis a''+Ci�e�Safefy Page;°{�(}set of Energy Forms.R=0 W Permit#cr nerrv construc�an. _ ,
<br /> Minimum te�(10)working days after submittal date. Required onsite,Construc8on Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitacy"FadliHes&1 dumpster.Site Work Patmit for all nsin+<projects..Alt cammerclai reguireme�ts_must meet comp!lance -
<br /> stGN P�RNIIr aaactt{2)sets=of��iigiae�ed:P.�ans:;.:. .---Y - . .. `
<br /> •'"'PROPERTY SURVEY�requireci.�for all NE1N_.construcUan. - ,
<br /> -.. _ ...__..._. __.._....- .�..,..�x r.,., -
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<br /> Dlrec#Ians: ,. `
<br /> FIII out applicadon completely. �
<br /> tlwner&Contractor sign back of appl[c�ttc�n,notarized
<br /> if over�,2500,a Notice of Commencem�nt Is required. (AIC upgrade�over$7500)
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<br /> P�gent(for ttie�oontractor�`or'Poviier of Atfomey(fpr�tt►a owner)would be someone writh4notarized letter from owner autharizing=sasne
<br /> --DVER'THECOUPITEt2.P..ERMl3'11NG,-: ,,�(Fr+ontof�Application,Only)� � ` `' "' � _
<br /> Reroafs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Foatage) .
<br /> driveways-Not aver�Caunter if on public roadways::need`s,ROW`„ �t� _ � � , . �
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