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a�s-�saoo2o City of Zephyrhills Permit Application Fax-813-780-0021
<br /> . Buflding Department '��
<br /> Oate Recslved Z_� � :P..hane=Contact far Pemitttln —
<br /> Owner's Name �'""'� Owner Phane Number
<br /> Owner's Address �'�3 Y d�"'''�' V � Owner Phone Number -� ��
<br /> Fee Slmple TItIeHolder.Wame � • � � Owner Phane Number 3j3���?�"z�l � �
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<br /> Fee Slmple Tltleholder Address
<br /> ' 3 S 3 � .��t�' 1=""�' �.'� LOT# �33
<br /> J08 ADDRE83
<br /> SUBDIVIStON �� � PARCEIID# '
<br /> f . � , (08TAINED FROM PROPERTY.TAX:NOTICE)
<br /> WOIiK PRQPQSED _.NEW CONSTR ADDIA�T C�]� SIGN �Q �Q DEMOLtSH I
<br /> � •�e. INSTALL �� � REPAIR I
<br /> PROPQSED USE SFR [,� COMfUI � [,,,� QTNEFt
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<br /> TYPE OF CONSTRUCTION = � BLOCK " Q FRAME � STEEG'� Q ,,,�
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<br /> DESCRIPTION OF WORK . �� �%j,Z -,� f F� -�"� ,/�
<br /> �ur�o�N�s�z� 1�F�;',,�°,'1'',a�'f�'�'�"'� sa�oa�rA�E' _ . H�ic�iT ` 3�`�- . �;��P°z`�-'���
<br /> �BUlI, � : . . ,
<br /> .DIf�lG $ r�p.� � r/A�UATIOi�1rCfF'TOl'A�COlVSTRt1CT10Ri �
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<br /> QE�ECTRtCAL r.� " � AMP SERVICE _�Q °Pl�t?GRESS ENEt2GY Q_ "W:R.E:C.
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<br />, QP'L=UMBING J��� '
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<br /> �I �]MEGHANICAL $ VALUATION OF;MECFfANiCAL IidSTALLATiOiV_
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<br /> QGAS Q ROOFING ,Q SPECIALTY �'„_] � OTHER , . '
<br /> FINISHED FLOOR ELEVATIQNS F1.00D ZONE AREA YES NO ����Z'
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<br /> _ UILDlER_ ;.. � ' __ �a�c�,niyc►�.°9`:.. _ . ' _ " -
<br /> ' �G,�TIIRF�„� �r���'�'���� l�*r� REGISTERED Y/ 'FEE CURRE� � Y/'N'
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<br /> �ddress � � - license�#
<br /> ELECTRiC1AN� COMPAI+tY -
<br /> , SIGNATURE � REGISTERED Y/ N FEE CURREk ' =Y/N�.
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<br /> Address � - . . Clsense#�1` . �-.. �
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<br /> PLUMSER �; , . CQMPANif, , � � �
<br /> SIGNATi1RE` ° ` _REGIST.ERED Y.L-,N=ti ;_F.EE CURREk Y-/N: - ` '
<br /> Addrs�s - � _ � ., . , . Licer„ise# � _� �� ` �
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<br /> MECHAAliGAt: � � GOMPANY " � � - .,-. � -
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<br /> SIGNATURE � � ` ' � REGIS7ERED . Y.„/,.N FEE CURRED?. Y�/=N, -
<br /> Addr8S8'` r� - _ .. , ;; � . ''1; _ ' '.r;� . . :�"%,'„ .. . , ' �
<br /> ucense#"�,.,
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<br /> O�NBR �; " , . - �^ � �GOMPANY ' � � � � . -
<br /> SIGPtATt3RE `_•. � • ' • - ` " ' REGISTERED �' ; Y/ N.,..- FEE CURRE� Y/.N
<br /> Asldress 4 .. _ - � - �icense#�� ,. t "�` .. . .
<br /> ,. �..,. ,. :- $t:,,;..�... _ „ . .
<br /> RESiDENT1AL,r :Attz�cti"(2)u.P-.lofPlatis;..(2}'sets_of<BuilBfng#Ptaris;(1}set of%Energy`>Farii�s;R=O=W Rerinit for new constructlon,,. ` `
<br /> �i s,,�,. NiinimumLten;{1.0);yuor{cing;deysvafter�submittai da#e.�=:Requir`ed onsife,:Cbn'strticBon=Rlans;�Stormweter Rlan's�w%Silt'Fence instailed,
<br /> �. Sanifary Facflities�&1:dumpste,r,�,Sfte Worlc;Pertnit for subdivisions/large._projects�:_,;,;;:.:� - , . .� '- °`• :`� -=
<br /> CO€�!"JlE�CIAL Attach(3)�ccmpfete'sets�of Buitdiiig Pians plus a�i:lfe Safety Page;{1}set af Enengy Forms.R L1-W PetmRt#or new constiu�ion.
<br /> Minimum ten(10)working days'after submlttai date. Required onslte,Constructian Plans,Stortnwater Plans w!Siit Fence installed,
<br /> Sanitary FaciliUes&1 dumpster.$ite Work Permit forall new.:projects..All commercial requl[ements,must meet compllance
<br /> Sl�N PERMIT AttacFt{2�'s'e�ofEng,t'neered�Rla�is...; _- - �;F : - , - - - �
<br /> •`«»PROPERTY SURVEY reguirecl,for all NEW constructian., -. �
<br /> �D1iecNons: , ` � - � " , � `
<br /> Fill out appiicadon compietely. �
<br /> Owner 8 Contrackar sign badc of applfcaUon,notarized
<br /> ti cves�2500,,a NoEtce of CommencsmeRt ts requtred. {A!C upgrades cvet 57500} ,
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<br /> '" Agent(for#he con'tractor)or"Power of Atkomey�(fa��tFie owner)would be someone with�notarized letter from owner authorizing same-� , , _,
<br /> OVER THE COISNTER PERMIT'CING - •(Front of,RppllcationyOnly).�__„ � � � ..
<br /> RerooFs If shingles Sewers Service Upgrades A/C , Fences(Plot/Survey/Footage) � . •
<br /> Driveways-Nat over Caunter�f an'publlc roadways..needs ROV{t�� ;� , ' ° .� .. .� _ _ , - -�
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