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813-7ao-ooxo City af Zephyrhills Permit Application Fax 813-780-0021 '
<br /> 6uiiding Depattment �'�
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<br /> Dats Recelved / F— �
<br /> �� � � Phone Canfact=for Parrrilttin ��� J � � �d� .
<br /> Owner's Name �v v d' .1.�1,��J 7!K c°✓�7" . ` Owner Phone Number j
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<br /> Owner°s Address D� � �./ [Q/Z�I =6� S��'� � � t�""'� Owner Phane Number � � � �
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<br />� Fee Simple{Titleholder Name ` � � Owner Phane Numbe� ��� � j
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<br /> Fee Slmple;Titleholder.Addcesa �
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<br /> JOB�DDRESS J-�- f � �� �/CJ /S[��(S f"�'� LOT# ��
<br /> �uUBDIVfSfON �R � PARCEL tD# �'c�-��'"��� ��b -- � b� ~ f�6�a
<br /> ' - t , , (OBTAINED FROM PROPERTY,=TAX NOTICE)
<br /> WQRK PRO,POSED �NEw'CON57R . ; ADDIAI:T � S1GN' "Q Q DEMOL•ISH �
<br /> ; INSTALL �� �.=REPAIR �� ° ,
<br /> PROPOSEQ=USE . SFR. Q 'GQMFui �� �OT1iER — � ' �
<br /> TYPE OF CONSTRUGTION" [� ` " BLOCK " [� FRAME � :[� STEEC
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<br /> DESGRIPY{ON OF WORK ��f-"o � �—/'D�s� �r2c vt ( � �,�,� � �`J , � �
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<br /> Btl1lDlNG`StZE..�� ��SQ�FOal`AGE �� �� . ..FIEIGFIT ��_..::� r
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<br /> [-�Bil11.D1NG r�� '
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<br /> I L .�-�' f)r D i� VALUATI�N:<OF=T01'AL CONS7`RUCI`ION- • �
<br /> QELECTR1CAl - N�$ ' � AMP SERVICE Q Rt30GFtESS ENERGY Q W:R.E.C. .
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<br /> QMECHf1NiCRL ` $ � VALk1AT10NOF;MECHAl+IICAlIN3'f"ALLRTlQN.
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<br /> QGAS R(]OFING ,Q � SPEGIALIY,..C� . OTHER - _ �
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<br /> �', FINISMED FLOOR ELEVATIQNS r�� FLOOD ZONE AREA [�YES ,NO
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<br /> BUELDER � ���� ta L�(,o✓ �
<br /> COMPANY� �-� t;�� �;Pi=� •-y,-� S �y, C;
<br /> i SIGNATURE G��� REGISTERED Y/ N . e cuaREn ' � Y f N
<br /> Address l9 l �• �a v��u ,,��(.. a �L � License#' �'�� 1,����� �
<br /> ELEC'�RICIARd; - • . .`COMPAEIY � - - ;
<br /> SIGNATURE rt'` REGISTERED Y/ N FEE CURRE��f `� '�Y/N i
<br /> Address = • " ., , � � , , .. License# ` " ,
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<br /> PLUMBER '� GOMPJ?►�1Y. ,� _ � � � �
<br /> SiGNATURE "° ' � itEGISTERED •Y/;-N. -,FEE,CURRE� Y/N_ '
<br /> Address �.. Liceri,se,# ��� ��:• I�
<br /> MEcr��tc�: � . � = co�n��+nr � � _ . � _ � _ � �
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<br /> SIGNATURE ' ' ` REGI57ERED..� Y„/.N ' FeE.cuRtt��.. Y•/�N. . � ' •
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<br /> Addre�s� ' � - � � � ` ` � _ � License#���� � �
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<br /> SIGNATURE • � '' � ` � � ' ' � � `REGIS7ERED` ' � Y/ N;...; :FEE CURRE�� Y/N-
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<br /> 11�d�V�Y - ��F,. _ 3 �f�• j t � f � ����aSB�J * ' ,. �
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<br /> RESlDENTtAL�..: -:Atta:cti`{2)�Ptot:Pla"ris„:{2}se�of�BuEldiiig�Flan's;(1}`setof=Enerjy>Fo�'s;��R=O=WPerrri,Itforn'swi�;nstructEcri, ,� ` �
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<br /> °-- a s:_Mlnlmum�tenr(:1.0):workirig�da_ys�:atter4�subriniffai da#e�Re�ulred onsite,_�b'n'sUiicBon�Plans�,'StonnwaterPlans�w/SIIYFence installed, '
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<br /> Sanita Facilftles�&;:1„�dum ste,r,;y.51te�Wo.r.ic�,P..ermit#arsubdiVisio�sAa 'e',,,r,oects�"_ "`` ` - '
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<br /> CQMMERCiAL Attach(3}�cosrapi"ete se#s`i�f=8ultilEng Plans ptus a"GIfe-Safe�fy Page;�(1)sert of Enecgy Fomts.R-O W Permit for new construc8on. _
<br /> Minimum ten(10)workfng days after submlttal date. Requlred onsite,ConstrucHan Plans,Stormwater Plans w/SNt Fence installed,
<br /> Sanitary FaciliUes&1 dumpster.;Site Work Permit for all new,projecfs..All commercial requlrements..must meet aompllance =
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<br /> �3lGN PERli�IT AttacFi{2}sefs of"Englnee,seduPians:s::• -,, �"_.,. :a;� �__ , . � ' ,
<br /> "'*PROPERTY SURVEY reguired for all NEW construction.� � � � I
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<br /> Dlrectians: - �;�:�•.::� t .. __ , . �
<br /> Ffll out applicaUon completely. '
<br /> Qwner&Contractor sign back of appllcatlon,natarized
<br /> if ovar#2500,a Noti�of Commencement ts requirad. (A1C upgrades aver�T500}
<br /> '• A ent for the i:ontracior��or`Powrer of Attome fur the owner�would be someone with nota�ized letter from owner authorizin same
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<br /> OVER i'HE CQkINTER,PERMtTTING.. _-�_.{Front-of,APAllcation•Only}-, .. _ _ . .. ,
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Foatage)
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<br /> Drivswaya-Not aver Counter if t�n publfa roadv�iays:.iieeds ROW� '
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