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<br /> a�3aso-oo2o City of Zephyrhills Permit Application Fax-a�aaaaoo2� ��
<br /> Building Department
<br /> Date Received � Z�� ; • phone�Contact for�Permittin :� � — �� -
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<br /> Owner's Name`�� ,U I�lr��' �'- :.' ; � Owrier Phorie�N.umber,,, �1 - ' 2.Z.
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<br /> Owner's�Address -•�•- - __:.2 ' r.. ' (�1� ���. A�� Owner Phone Number �
<br /> Fee Simple Tltleholder,Name• Owner Phone Number "
<br /> Fee Simple Titleholder Address
<br /> .
<br />, JOB ADDRESS �g'i �� � rCf �U2., Z.�e. r��'��5 �� � �oT# 1� 2, 3
<br /> SUBDIVISION PARCEL ID# � � ' Z�P - v�l� - r 9 / dU�' ���
<br /> _ (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR -�"ADD7ALT� Q� SIGN Q Q DEMOLISH
<br /> e INSTALL , e �REPAIR"
<br /> PROPOSED USE Q SFR - Q COMM Q OTHER
<br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
<br /> DESCRIPTION OF 1NORK T TCI_ Q �7'�n C� ��" � ��u�
<br /> BUILDING SIZE � �O Y� L y SQ FOOTAGE�.. HEIGHT �J� J
<br /> ` BUILDING $ � �,G�S �VALUATION'OF TOTAL CONSTRUCTION ,
<br /> ELECTRICAL $, , AMP SERVICE Q P�RESS ENERGY �Q W.R.E.C. /
<br /> b �',,0 �
<br /> QPLUMBING $ ���� r� s�'� PI(�'y �/
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<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION F,`� ��C�i�/ A'��{�,.��-
<br /> ` �
<br /> U ' 'L( N
<br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER V� v � .�`j'�:
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES N� �� �ss}��
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<br /> BUILDER / � COMPANY t?Z��� D�'1 l��
<br /> SIGNATURE al REGISTERED ' Y/ N FEE CURRE� Y/N
<br /> Address License#
<br /> ELECTRICIAN COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License#
<br /> PLUMBER • _ COMPANY
<br /> SIGNATURE REGISTERED. Y/ N FEE CURRE�',. Y/N
<br /> Address � Cicense#
<br /> MECHANICAL COMPANY
<br /> SIGNATURE � ' � ' REGISTERED •„Y/-N . . FEE CURRE�, Y/N
<br /> Address - ` ''• ' " License.#.
<br /> OTHER - COMPANY
<br /> SIGNATURE � - � � - REGISTERED �� " Y/ N FEE CURRE� Y/N
<br /> Address �y,t,r � a ' �`� - ' - � ''License#� �
<br /> RESIBEN7IAL. .-Attach(2)PIot�Ptans;(2),sets•of�Building;Plans;,(1).se4 of Energy�Forms;R-O-VV Permit for new construotion, � - I
<br /> � �Minfmum ten(,1U)„working;days�after=submittal date:;";Required.'onsite,`.Constniction�Plans;Stoenwater Plans w/Silt Fenae installed,
<br /> Sanitary FaGiities.'&;1;dumpster,�Slte Work Rermit,for;subdivisionsllarge,projects �'�, -
<br /> COMMERCIAL Attach(3)complete sets'of Building Plans plus a"Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities'&1 dumpster.Site Work Pertnit for all new projects:�All�commercial requlrements must meet compliance
<br /> 51GN PERMIT Attach(2)sets�of Engineered;Plans., ,";, - � " � _ • • °
<br /> ""PROPERTY SURVEY required for�all NEW construction. , _ .
<br /> )Irections: , � � �
<br /> Ffll out applicatlon completely.
<br /> Owner 8 Contractor sign back of applfcaUon,notarized '
<br /> If over a2500,a Notice of Commencement Is requirad. (A/C upgrades over 57500)
<br /> " Agent(for the 6ontractor)'or.Power of Attomey(forthe owner)would�be someone with notarized letter from owner authorizing same
<br /> �VER THE COUNTER.PERMITTING.. ....(F.ront.of.Applica8on:.Only) .
<br /> �eroofs if shingles Sawers Service Upgrades NC Fences(PIoUSurveylFootage)
<br /> Driveways-Not over Counter if on public roadways':needs ROW' -
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