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� ` s��-�8a-oozo City of Zephyrhills Permit Application Fax a��-7so-oa2�
<br /> Building Department =;��
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<br /> Date Receiyed . phane Contact for Permitting � ll % � � n
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<br /> Owner's Name ��,.�..� Owner Phane Number
<br /> Owner's Address �c.L• (, " Owner Phane Number � �
<br /> Fee Simple,Titlehoider Name � � Owner Phane Number �— �
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<br /> Fee Simplej7itleholder Address
<br /> JOB ADDRESS LOT# �__�
<br /> SUBDIVISiON � � PARCEL.ID#
<br /> � (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WQRK FRC1P08ED � . NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISN
<br /> ; INSTALI. REPAIR
<br /> - PROP,,QSED t7SE- SFR C] COMM � 07HER ;
<br /> TYPE"OF CONSTRUCTION � BLOCK • �J, FRAME 0 STEEL Q
<br /> tia � , / r� . (
<br /> :�v. 'DESCRiPTiON OF WORFC � �` V� C�- j 1� � �
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<br /> ';. BUI�DIPt,G SIZE � � SQ FOOTAGE��� NEIC,HT ���
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<br /> ;f,� ����'���� ����� �',3.� � VALUATION'C7F TOTR�CONSTRCIGTION
<br /> ;' L`'a �'�J
<br />, '"� Q.El:�CTRICAL � � AMP SERVtCE 0 PROGREBS ENEI2GY Q W.Ft.E.C.
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<br /> QPLUMB[NG $ Lf�-� ,
<br /> Q t. �
<br /> � C]NIECHANICAL $ VALUATION OF MECHANICAL iNS7ALLATiON �
<br /> ' � ���i�7"
<br /> �GAS Q ROQPING Q SPECIALTY C� QTHER � f//j��
<br /> =.j �/j Vf
<br /> FINISHED FLOOR ELEVATIQNS FLOOD ZONE AREA QYES NO �' (� �
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<br /> ( �. :BUILDER � J COMPANY �:-rit.�,.r
<br /> ' � SIGNATURE ��lJ�„�,� REGISTERED Y/ N FEE CURRE� Y/N
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<br /> � Address 'License# � I
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<br /> `,,�"ELEGT�it[G111N .. CONIPANY
<br /> >�.SIGNA7URE REGI3TERED Y/ N FEE CURRE�" Y/N
<br /> Aiidrsss - License# �— ��
<br /> �F P.LUtY18ER.,? COMPANYrv -
<br /> :�'SIGNI;ATURE � rREGIS7ERED Y-/ N FEE CURRE� Y/N
<br /> Addres's License#
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<br /> ii.�ECFIANlGA4:� COMPANY �
<br /> ; SIGNATURE� `' `� ' ` REGIS7ERED Y/.N - ! FEE CURRE� - Y/N
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<br /> �- Add'ress� ' �' - 6icense# � �.
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<br /> ,;::or����• =<z. � � �co���r
<br /> ; �SIGNATURE:�;,� .�� - ' � REGISfiERED Y/.N FEE CURREK Y/N
<br /> ��' Addres�� . , _s�` , Liceiise# �^ � �
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<br /> f=.., - >,:. :.- .
<br /> �':RESFDENTIAI.tr�_ :Attach{(2��PIot:Pl'"an"s';''(2�}:s'sfs�of�.Building�Plans;(1�)�sef'of�Energy,Forms;R=O=W Petmit for new,constiuction,"':
<br /> -"��-� x�� �- -:.-�,Minimum:ten�(,10):woiking?iiays�:after;su6mittal:ilate::Repui�ed�onsite;�Con`sUuction Plan`s,`Sformwater Plans w/Silt Fence.installed,
<br /> �", �'iY������•C.,"����: .v ..�.ri.:r�Y .. k- ,
<br /> £y:..:.' � Sanitary-jFacilitiesF&��1�?dumpster-Sife:Wot,lcPerrnitforsubdivisions/large'p�ojects�= � '' � = � - ��` -"
<br /> ;:GOMMERC11tL Attacti`{2)�korriplete sets of'Builtling Plans plus a�ife Safety Page;(1}set of Ene�gy Forrrts.R-O W Permi#for new construofion.
<br /> ^,a'�'y - Minimum ten(10)working days after submittal date. Required ansite,Constructfon Plans,Stormwater Plans w/Silt Fence installed,
<br /> " �Y Sanitary FaoiliUes&1 dumpster f Site Work Permit fo"a�a8-new p�bjects,Ali commercia!requirements must meet compiiance
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<br /> f...SIGN;PERMfT -'Attacti(2}sets;o��;Enginaered�P.tans:�t� �. , �
<br /> ' 2��" ""*PROPERTY SURVEY required.for..aILNEW constructian.
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<br /> �',Dir"ectiaris: �•:,,-.= ., ;; . •
<br /> ��� '� �Eill:out application completely.
<br /> i O.wner&Contraator sign back af application,notarized , -
<br /> ifover.$2500;a Notics of:Commencement is requirad. (A!C upgrades over$7500)
<br /> ::'+.-.• �,::�...,..;.t,:,,�.
<br /> �: , AgenY(for`th'e•cont�actor)or�Power of Attomey(f6r'ttie owner)would tie someone with notarized letter from owner autharizing same
<br /> ;,-f3NEf2,'fF1E GOUNTER PERMITT.iNG� ,(copy_of contract=required) �' -
<br /> � �;'Reroofs if:sfiingles � Sewers Service Upgrades A/C Fences(Plot/Survey/Foatage)
<br /> • Driveways-Not aver'Counter if on pub(ic roadways..neeiis ROW r
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