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813.780=0020 City ofZephyrhills Permit Application Fax-813-780-0021
<br /> ». f Building.Department-
<br /> Oat®'Rec®Ivied'
<br /> .Phone,Contact,for Peryntttin •�!_.� �/y_ :.` .30 L`
<br /> -Ownges.Nav �..5.%9 ' C o r..:.
<br /> =a n,e; J: . OwnerPlione'Numbe� >6` y :9=/ 3
<br /> ONiner Phon,',um00
<br /> ber
<br /> Owt el i Phone`Nitim' er;_
<br /> "'JOWADDRES3:. �/ Jr.2:/. . + 77 y S�ipty : ,..
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<br /> .:�'"�SUBDIVISION< ' :,:-PAR EL1• ` - . .. . _ � _• ... ..
<br /> . =}(OB.TAINED:�RQM�PROPER7�F-:Y'AXI!jOTICL)i.-.�; -,- -
<br /> PROP.-.OSED::_. :'NEW:CONSTR_ ADD/AST :-,`.' - SIGN``
<br /> ,,.. .
<br /> JNS3`ALL... REPAIR
<br /> PROPOSED.-Ul)E-, 0; ' -SFR'._ tCOMIVI;.'''"
<br /> ,,'0:' _0`. ;OTHER':::`
<br /> ,.,. TYPE':OF•CONST *-_•.:;
<br /> f RUCTION BLOCK'�''' FRAME`
<br /> • STEEL"
<br /> DESCRIPTION'OP WORK
<br /> .:BUILDING,SIZE :�—�
<br /> a SQ,FOOTAGE :HEIGHT::;. 1.
<br /> VALUATION, tTOTAL�.CONSTRUOTION'-•
<br /> Q'EiECTRICAL..,. $. AMP'.SERVICE .:,: DUKE ENERGY> _: r:;•.';.W C:.
<br /> :S'.W"
<br /> =PLUMBING _ $•: .. . �`'�'� . .
<br /> ,=MECHANICAL $ VALUATION OF MECHANICAL INSTALLA7,ON
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<br /> =GAS 0 ROOFING 4�� ,SPECIALTY OTHER
<br /> FINISHED- LOOR.ELEVATIONS ;' �tFLt?Op':20NEAREA: •"01''=YES N
<br /> 7.,'.,
<br /> ..:
<br /> BUILDER COMPANY: .
<br /> F.r
<br /> SIGNATURE w„ REGISBRED Y'/%N 'FEEfC?E�
<br /> Address J�/O�f �/ License'#;; e 4 Jam",l>�a
<br /> ELECTRICIAN COMPANY:
<br /> SIGNATURE REGISTERED Y:"/ N::'' TEE CURRENT;
<br /> 'Address :'ticnse#'
<br /> PLUMBER" ' COMPANY - ;
<br /> SIGNATURE :R€ sTi:f2Eb ' -Y%=N''.', `j".FEE,CURREA::`.`T :Y
<br /> Address:
<br /> MECHA�fICAI : ,.:.
<br /> COMPANY'
<br /> .' ._ _
<br /> -•.. •.. EGISTERED;i� ' �'Y•k�N�-'° 'r�FEE'EURREh`;:-
<br /> °Address,:-' •, :,._ . _ _ ,_ ,-,r,i :.. -
<br /> OTHER',;.
<br /> RE 1 #ERED i:iYaLe:N;:;,: F.EE'CURREAs?,tcYlN:`,: {
<br /> SIGNATURE'.
<br /> :Address: license,# -
<br /> e:f-:
<br /> 1 9 'Q —
<br /> :T !' —
<br /> 1v
<br /> COt18 ti0'
<br /> .� i' "AP 'ri's� ,1•;�'mt°ofa :tS�e� ;�Eonhs >fo�fi 1fu.
<br /> RSSIDENTiAL` "Attai;Fi•��.i?Itit��Pla� §ets';tif�ir.Idin is_•�(,) E .�9Y. �....�, .4. ►�1e11� -
<br /> �•w {' r t `c e;Yf �'^ a.,. �_
<br /> T(iA7rtPitiium.fen-(>i.0)S�orkitiga�ays:aftersUliiitflt�l�c�ate�4:R 'irei`l�cns3fe'ttinstrLodo��Piarts;'Siorm�%ate�P_faH:;'`v�i/:SiIF'Fe_nce:fnstaU.eb;":
<br /> Sanitary;FBcilities:8 ..dumpster,;Stfe Wor'k.zPemtilt*ftir:su'tidtiil'sttins/Ia�.tge projects`
<br /> COMMERCIAL Attach,:(2)°complete;Sets of.Buhding;Plans;prusa�lafe Sefety,Page;(a>)set'of Energy.•.Forms,R-O=W Penn)t.fd'r,.newsconstruction',,.;
<br /> 'Minimum':tend(10);WgrkIng daykafter�S�tiitiittal��te:,:;Req�itevd'Qnsite;'Cons4n%cUon P��nsyStormwatei�PJans w/$IjtiF.ence��1Sta11ed'
<br /> err
<br /> SanitaryiFaCtltttes 8 1;llunipst r:Slfe IVo�tr c Permlt for a1hnew,projects:AIi-commerclal:requirements must meettomplfance
<br /> SIGNPERMIT' Attedh'(2)sets ofNngineere l'Piarts:= ; ';a
<br /> PROPER,TY;SI14�/i:�f`requlred for'alf'NW cbfistruction. _
<br /> Directions:
<br /> -Fill out application completely.
<br /> Own9r-8 Contj"ctorsign,•back ofappliCatlon,notarised.
<br /> If over',52500;'f Notre ofComniencemant Is ®qulred. .(A/C upgrades over.$7500)
<br /> Agent(for:the contracto►)'or.Power:of Attorney(for_the owner):would'be'someone with notarized•letter from owri®r•autfiorizing same:..
<br /> OVER T."E:000N.TERPARMITTING (cgpy, : required).: ..
<br /> of�contrabt' -
<br /> Reroofs if sfitngles Sewers ServicesUpgrades! 'Fences(PIoUSurvey/Footage)
<br /> Driveways=Not over Counter if on public roadways..needs ROW
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