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813-780.0020 City of Zephyrhills'Permit Application _ Fax-813a80-0021
<br /> Building,Department
<br /> f- rIV6dPhone,Contact for PerrhIttin .
<br /> .. >Ai�. %Owner`'PlioneNumber''T
<br /> a,,Owner'sAddress
<br /> Oihiner'Pkon Number:
<br /> . _ - OwHer:Phoilm�Niirribek' - '
<br /> r,.• •:LOT# '
<br /> SUBDIVISION' -
<br /> (OBTAINEDAROIL}PROPERTJF TAX1[OTICIe)?
<br /> i •,., -
<br /> ^ (,-. -�
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<br /> NEW CONS74t� SfGN'' 4 iFDE.MOLISH'
<br /> ..B • INST. .r:...�"
<br /> ,EpAIR '
<br /> PROPOSED'-USE Q; . .:$FR''"
<br /> C.OMM='; ;OTHER
<br /> TYPE'OF CONSTRUE N'c TIO 0 =BLOCK
<br /> DESCRIPTION OI=INl�RK.'
<br /> ;BUILDING•SIZE SQ-FOOTAGE- HE.IGHT.,
<br /> :.._ . . .
<br /> •r-
<br /> BUILDING $;
<br /> i VACUAT,tON:;OF`TOTAL`rCONST.RUCTION
<br /> EEGTRICAL.. $, AMP',SERVICE DUKE`ENERGY° W. EC..
<br /> R;
<br /> [ PLUMBING . $.:
<br /> QMECHANICAL $: C �, VALUATION'OF MECHANICAL INSTALtAT,ION"
<br /> =GAS Q -ROOFING.: `[� , ,SPECIAUTI!..Q._• _OTHER:__
<br /> f.INISNED FLOOR'ELEVATIONS :: r YaFLOOD'-ZONE'AREA: [ YES: NO
<br /> ..F. ,
<br /> BUILDER COMPANY:
<br /> 'SIGNATURE �„ REfals. ''FEE;CURRE� YN;:;
<br /> Add►ess License;#;
<br /> ELECTRICIAN
<br /> SIGNATURE REGISTE`RE6 - Y`/?N:•.' ,FEE CURRE�: " i;Y%''N
<br /> -'Address ticmn'se#' =
<br /> PLUMBER COMPANY _
<br /> SIGNATURE. ;RE'GISRIEti:` Y% N' E,CURREN`: ; " :'Y7N�'R
<br /> :Address:'
<br /> MECHANICAL. `COMPANY'
<br /> T _Y ,,;W .
<br /> SIGNATURE'': "REGIS ERED:'
<br /> r .
<br /> ,Address,:, _ ;•a;icenbe.-#,: ?✓L.- _ :;A.�=• .
<br /> .OTHER:;
<br /> 81GNAYURE:. RI: I$tERED =Yr7x:Ns",:. ,.FEE'CURREDa
<br /> Cis
<br /> ;;Address,: Ucense#,
<br /> -
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<br /> Y.-•
<br /> :9
<br /> •1• i ~ Ye +cons`fie o orin§•.R=O VY e n cti
<br /> `AttachIbC�Pfa''s 2. Sets`of= atfdin 'Pits ,1 , t. fsErie. for w.- tiu g _
<br /> RESIDENTIAL -�..) a. ,�°,(.;�>. ...? �t,,,, ,(,)._ ,..r•,K ,,:r9Y'�. .,�. ..;C:1���'•�,:. •-1.�.-
<br /> ', ).'.,t' :�•' la i a: ,.i't i. Cq� W a. +�, c., •..,
<br /> xMin'iffi m-ten(*,1bji Vorkiiig dais.afteFs:UWfhsl�Wate:VRi 'fired bnslfe'Otins icdott,P.l�ns;S�brmu'�efefP_fair iii�r;Stlt` �nc_e stallsdr-
<br /> Sanitary:FBCilities:8�:dumpster,•-,�SICe:WotkPemiit�fbrsutidivi'sion3ne)�ge:projects` •
<br /> COMMERCIAL Attach„(2),completesets;of;Bulldtng Planspfus:a�IfeSafetyhPage;(a:j'`se7`oEEriergy.•.Forms;•R-O-W Perdiltfor!newcco $tructlon-
<br /> 'Minimum ten;(10);working rya 1aft�rsuS�q[ttai'dte RegJlredin'site;CoestnictforiPl�rtsi$tormwafb�iPlans w�Silt,Feni;e installed;•:
<br /> Sanitary FaCliltfes&1:.tlurttlS: :SI�e JlloarfrPertnit for all new:projects:All commerdal:requireMenta must meetcomplfance'_.
<br /> SIGN'PERMIT' AtNach(2)sets>af;Engneere ;Plans;r.c<: :,v:''::.:.
<br /> ""PROP.,�F*t,T7YrS,1JR�/EY`reGul�ed -a lf'NW gbfiswction.
<br /> .: „ .
<br /> Dlrestions:
<br /> :Fill out application completely.
<br /> ownbr&Co'n-. _ctorstgn;back'.ofappliCatign,.notarized
<br /> If over$25011;'a:Not(ee;oti t~orinrrsencemerit is ioqulred. (A/C.upgrades over.$7500)
<br /> Du
<br /> Agent:(for:the:contractor);oriPower:of;Attomey;(for the owner):would tie`someone<wtth notarized letter fcom:owaer-authoilnng same
<br /> OVER:TIIE;000NTER?P.E,RMITTING:. (copyof contra t requ r>ed): --
<br /> Reroofs tf sfitngles Sewers ServicO Upgrades°AfC `` ,''Fenoev(Pl6tt urvey/Footage) -
<br /> Driveways-Not over Counter if on.public roadways..needs ROW
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