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<br /> �s�s=�ao-oo20, ; " ' City of Zephyrhills Permit Application�.:����•�,-�;,;--�- --.-�._._._ Fax-813-780-0021
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<br /> � ' , , , ' - , Building Department.� ' - , - - :
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<br /> Date Received�� � ---�--. ,._V,�.��.��___� ' ' Phone Contactfor Permittin � ��J �3�' � ' -70 a, _ =�'s�� `
<br /> TITI-f7T� � - � ..,_._
<br /> Owner's Name � � r! �� � Owner Phone Number � .�-'' Sy- / 7 0—
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<br /> Owner's Address �. d � 33 Y�- Owner Phone Number .
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<br /> Fee Slmple Titieholder Name � Owner Phone Number
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<br /> Fee Simple,Titleholder-Address . I
<br /> _ . . i i L/ o� �� `� ICC..33ss� - LOT# '
<br /> JOB ADDRESS %1T�� (L�� r �
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<br /> SUBDIVISION CC �P %� DcC.F S PARCEL ID# � /"-� lo-o� l�- Ov3lJ.- ��d- � Y�o �
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e , NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE Q SFR Q COMM 0 OTHER
<br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q /�3b
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<br /> DESCRIPTION OF WORK �l ' 6��' ��c�r h (� r {2�CS T �d h�/�� ��`$¢,`�S
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<br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �B
<br /> "ITTI"ITT�TTl�T1�T�T�I�TTITTrITP1�ITrT�
<br /> QBUILDING $/� ,�f�a,O � VALUATION OF TOTAL CONSTRUCTION
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<br /> 'QELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> OPLUMBING $ I �S`'(� �`,�
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ���
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<br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � �/n/�j,I.,�T
<br /> VLJ�C�✓
<br />� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> -d-1-4-1-H-1-�-1-�-1--1-I--f-�1-1-1-�1=1-�-1-1-1-1-�--1-1-f-f-f--I-�1-a-I-1--1-E-�1-�1-1--1-1--1-f-1--l�-1-I--1--i-i-a-l-F-1-F-�F-i-1--1-I-i-E-i-
<br /> BUILDER � . S� 'o COMPANY T'�f�'t // �//�
<br /> SIGNATURE REGISTERED Y/ N FEE CU /N
<br /> Address � � /-7� I ^ �� G < l.S 3� y� Licens J' U�SI 7
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<br /> ELECTRICIAN COMPANY
<br /> SIGNATURE REGISTERED Y/ N CURR Y/N
<br />� Address I License#
<br /> PLUMBER I COMPANY '
<br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
<br /> Address I License#
<br /> MECHANICAL COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
<br /> Address I License#
<br /> OTHER ` COMPANY
<br /> SIGNATURE I REGISTERED Y/ N FEE CURREN Y/N
<br /> Address I License#
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<br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(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,Stbrmwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
<br /> COMMERCIAL Attach'(3)complete sets of Building Flans plus a Life Safety Page;(1)set of Energy Forms.R-O-1N Permit for new construction.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, --
<br /> Sanitary Facilities&1 dumpster.Site V11ork Permit for all new projects.All commercial requirements must meet compliance
<br /> SIGN PERMIT Attach(2)sets of Engineered Plans.
<br /> **'*PROPERTY SURVEY required for all NEW construction.
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<br /> Dlrections: •
<br /> Fill out application completely.
<br /> Owner&Contractor sign back of application,notarized
<br /> , If over$2500,a Notice of Commenc�ment is required. (AlC upgrades over$7500)
<br /> '"` Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (Front of Application Only)
<br /> Reroofs if shingles Sewers Seiice Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> Driveways-Not over Counter if on public roadways..needs ROW .
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