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813-780-0020 City of Zephyrhills.Permit Application Fa*813-780-0021
<br /> Building,Department• • . .
<br /> ."Phone,Coir.pernrittin _
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<br /> :•Qwner's.Namer- Ownar'Pfione'IYumber:'
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<br /> er's Address. :. I {... D: OiNno ho,4,Numbet
<br /> S Owi Phone,Ndih'd :-
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<br /> `4 'ADDRESS; O) O LOT`#'
<br /> SUBDIVISION l... . _ PARCEL ID#:
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<br /> ' ROMa?B(OB.TAINEO: OPERTY TAX;tJQTICE)
<br /> >;WORKPROPOSEQ:_. NEwCONSTat. ADD/ALT__;,' •, �` D M $H'` -=SIGN''' E OLt.
<br /> .:INSTALL.;. - .. ti:pAlR'..
<br /> PROPOSED:•USE;'; . .
<br /> o $FRa . :
<br /> T yEL,::;
<br /> F 66 NSTRUGTION' =BLOCK FRAIiAE�''`" "S .E
<br /> ''DESCRIP.TIONOF.INORK \2Q� v�� �C'Q S i .
<br /> BUILDING.SIZE Sc`n�lQ. rami .'SO-FOOTAGE7.
<br /> : .�7
<br /> BUILDING $,:' D -
<br /> VALUATION,OF''�TOTAL:CONSTRUCTION
<br /> ..... s 2
<br /> ELECTRICAL.., $, AMP';SERVICE DUKEENERGY
<br /> =MECHANICAL $: VALUATION OF MECHANICAL-INSTALLATION'
<br /> =GAS ROOFING: `[ ,SPE�IAL;fTY,.=..:. -OTHER
<br /> FINISHED'FLOORsELEVATION [ YES NO-
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<br /> BUILDER l COMPANY,';. ;`° `O t7 .:;:,J-IBC- •.;:`' k
<br /> SIGNATURE t; REGis7 R d; Y/N '� ?FEE!CURREt�
<br /> Address-. wqa
<br /> ELECTRLCIAN'. COMPANY..
<br /> SIGNATURE :REGISTERED' - 'Y'["N . .FEE.CURRE�:
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<br /> 'Address
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<br /> PLUMBER COMPANY'
<br /> SIGNATURE
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<br /> a ':COMPANY'
<br /> MECHANICAL•- •:; -- - - -
<br /> SIGNAfiURE" • REGI§TERED =' Y/::N''_' `FEE''GURREK:'';'` '?Y:`/aN;tS r•-:r.}•
<br /> °Address,: ,.tgerise'#;
<br /> ,COMP.,�1NY' =
<br /> OTtIER',, - . . ;.
<br /> SIGNATURE'. Rle�stERriD' YY-/x N;;;• F.EECURRE(� ;u. ;<<<YF;N:F;i
<br /> ;Ada►es$- '.::,f ._ .z
<br /> +License,#,s ,n-
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<br /> se` •r'ie o'rlris•;ReC)- e� �,n w n.
<br /> 17AL� Atta"k.•� fiatPl'a's�` '2 -sets'bf>t�aildi EP i3f�'s�P1 t:cfxE � ••fo :,.
<br /> _ .�.:�.�' .,L.i,.•e.:>", tN:. ;:i'�t � `a.,�:.c�N� 't:;., .ayl�'+'�t�>'•:�'A�fir >iia4�:,r �'..,:rc=•. ;rF7:'C�•`sw•.;" _
<br /> '-xMinldium`teri:(�Oj�`�ork�ngrciays�a'fterstilirhi(t3�tlate:�>`.Ri[ed�onsilo;:Constrirodotf_Plaris,'S�orm�7atef Pfari�'.:vi��Silt�Eence.fnstalt_ed;"=-�:
<br /> Sanitary FeciliUes:8�.tdumpster;�Sife:Wotk't?ermit ftirautidiiiisCon3/Id_tgwprojeots
<br /> COMMERCIAL Attacfa(2)°complete;sets of;Bulldt(tg PlanseplGs atii(e5,afeEy Page;(7)'set.`ofPEnergy:Forms,'R=O=W Peniiit,for new;c;-06,tructiom,_
<br /> VMinimum'te`ri,(,10);rorking da a erSllbitlittal dAte`i Req��lJredonsite;-ConstnicttbnPl�nsy S"torriin�afr`1PJos>wliiltiFence installed;
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<br /> 'Sanitary:FaCllf�es'r><1::duPripst r.; it�e• or�r`tsermit for all new:pro)acts'All commercial:requtrements must:meet complfancd .. .
<br /> SIGN'PERMIT Attaoli`'tr2)setscgf,EngineeredP,larts::.
<br /> •••`PROPEF,ilY,$,IIRYEYrequirsd for alf NEn coFistruetion.
<br /> Directions:
<br /> .Fill out appileation.cwmpletety.
<br /> Ownbr Con,; ,ctoraign;back of aQplication,notarized
<br /> ..
<br /> 'If over S25G0;a Notice of Conimancemant Is required. (A/C upgrades.over$7500)
<br /> Agent:(for•:the,contractor)<or.'Power..:ofAttomey..,(for the-owner):would be someone.with notaiized•letter from7dwner-,authorizing`same
<br /> OVER:TyE:000NTERtP.E,RMITTING,. cohtra ;required). ,
<br /> Reroft if shingles vice U pgm
<br /> Sewers Serif ''Fen'ces;Olbt/Survey/Footage)
<br /> Driveways=Not over Counter if on.public roadways..needs ROW
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