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$�aaso-oozo - City of Zephyrhills Permit Application FeX-S13-78U-UU'L'I
<br /> • Building Department
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<br /> Date Rec�.�lved �. �, � : ;phone Contact`for Permittin -
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<br /> Owner's Name l`��� Owner Phone Number OXJ����� ^ ���
<br /> Owner's Address �"� � -J "' 1� �` � ��e-Q�� Owner Phone Number
<br /> Fee Simple}Titleholder Name � � � Owner�Phone Number �
<br /> Fee SimplelTitleholder Address
<br /> JOB'ADDRESS �G�rn�- �� � ��- LOT# �
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<br /> SUBDI1lISION PARCEL ID#
<br /> , ' (OBTAINED FROM PROPERTY,TAX NOTICE)
<br /> WORK PRQPOSED ., NEW CONSTR ADD/ALT Q SIGN Q "Q DEMOLISH
<br /> � B INSTALL 8 �REPAIR
<br /> PROPOSED USE - Q SFR � Q GOMM Q OTHER
<br /> TYPE`OF CONSTRUCTION Q�� BLOCK � Q. �'FRAME Q STEEL Q
<br /> �i (� �,�,, (� ,
<br /> DESCRIPTION OF WORK -~ ` � '�.� � \� �.`7��
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<br /> BUILDING'SIZE SQ FOOTAGE�• HEIGHT-• _
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<br /> OBUILDING $�� 2 � 2 VALUATION'OF TOTAL CONSTRIJCT,ION
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<br /> �'E.LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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<br />' I P-LUMBING � $ (� �
<br /> 0 z Q
<br /> i J � 1� � �
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<br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION
<br /> QGAS Q, ROOFING Q SPECIALTY Q OTHER -
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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<br /> BUILDER � �� �C�[''��� COMPANY �1U
<br /> SIGN�ITURE (� REGISTERED Y'/ N ' FEe curt�� Y/N
<br />, Address License.#
<br /> 1.
<br /> -_�ELECTRI,CIi�N: ;., COINPANY
<br /> �=SIGNATURE REGISTERED Y/ N ��FEE=CURRED Y/N
<br /> ,�ad��s$ ` - License# ��
<br /> , �. _ , �
<br /> , P,LUMBER� ; . COIVIPANY�• �. . •
<br />, ,, 'SIGNATURE ` REGISTERED , Y/ N.`�. ` FEE CURRE� Y/N
<br /> . � .:�ti'
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<br /> Address � Llcense#' �
<br /> .. .,. 4 _ -
<br />� ::' MECHANICAL � COMP.ANY �
<br /> `'' 81GNATURE' ' � � '' REGISTERED , Y/ N FEE CURRE� , Y./N ' , ,
<br /> _ 3. .. - . .
<br /> Aaa�e$sF�>-= � ' � � � - ii�nse.#. �
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<br /> ..OTHER;�:'°;�.:, " • " - - ` - - 'COMPANY _ -
<br /> `:;t"SIGNATURE;.?`r::�^:•'- .� � ' - ` � REGISTERED ' . Y/.N �' FEE CURRE�' Y/N ,
<br /> „ t:F;_:Z';,.i-, . . _ , .. . , � '
<br /> Address,,v. . _ ;=&r •,�: _ - _ . , . .�; �,` , License#
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<br /> ��RESIDENTIAL�^,:r'�AtCacli:°."2.'�FlotiPlans•�'�2'sefs'of:Buildin �Flans� 1'set of�Ener -Forms•R,O-VV Petriilt"r new.coristruction�
<br /> . , , ,.. w�,��_.). . �� � 9 �� ) .9Y. ., : � .. � _�
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<br /> '" '" :�:=>,;Minlmum�;ten�(>1,0,);working?:dayS;aftersu6mittal�dafe:='Required�onsite;'Gonstriiotion Plans,'StormwaterPlan"s w%Silt Fence installed; I
<br /> 5... ':3i"";3.� ,,;>a. , _ _ .s; _ . .
<br /> ' _ " ``'� � ������3anif,�ry,F,acilities.E&�;1�Mdumpster`Sifes�Wor,kRermit:foi�;subdivisions/la[ge:p�ojects:•:Y;, � : _ " -
<br /> I ''i�C.OMMERCIi4L Attacla'`�(2)'aomplete sets'of'Building Pl'ans plus a Life Safety'Page;(1)set of Energy Forms.R-O-W Permit for'new constructlon.
<br /> '�~�• - Minimum ten(10)working days after submittal date, Required ansite,ConstrucUon Plans,Stormwater Plans w/Silt Fence.installed,
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<br /> Sanitary FaciliUes&1 dumpster.Site,Work Pertnit fo�all-new projects.All commercial requirements must meet wmplia�ce
<br /> ;:SIGN��P�RiWIT `"Atfacfi(�j`sets;of:EngineeredqPlans;.i�.-;::� +� �
<br /> -.._ . :
<br /> ,:�,?_.._: ; "'"PROPERTY SUR1/EY required for..aII.NEW.,construction:. _ .
<br /> >Di�ectlons: -->,i:,.. ._:,,::s; . --
<br /> ; ��`Ftlf.outapplicaUon completely.
<br /> O,vvner'8 Contraator:sign:tiack of application,notarized
<br /> If over:$Z500;a Notice•.of:Comm�ncement is required. (AIC upgrades over$7500) _
<br /> ��";..:; ' •-�,:�,•=�u'.,.,
<br /> Agent�(fortfie�coritracto�)�or.Pov�rer ofAftomey(for'tfSe owner)would tie someone with notarized letterfrom owner authorizing same
<br /> r'�°OVER;:T,HE�COUNTER;PERMIT�TING, , (capy_of contrast:required) """�'' ``" �
<br /> �:. � : ...
<br /> ���Reroofs�if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) _
<br /> . Driveways-Not over Counter if on public'roadways"needs'ROW
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