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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> = Building Department
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<br /> Date Received Phone Contact for Permitting - —
<br /> ' ` � � �V�Ik�s�'J C813 7�2 ��� 2
<br /> Owner's Naml i Owner Phone Number �
<br /> Owner's Addr�ss �J�/Lli l�/v/ �'/ l�� Owner Phone Number O l J ��/ �� 1�� ;
<br /> Fee Simple Ti�leholder Name Owner Phone Number � �Ce�/ �
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<br /> Fee Simple Titleholder Address i
<br /> JOB ADDRESS �O I� I�, v` ��e� LOT# �
<br /> SUBDIVISIO PARCEL ID# ;
<br /> (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROP SED e NEw CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH '
<br /> P INSTALL REPAIR �
<br /> PROP.OSED USE � SFR Q COMM � OTHER
<br /> TYPE'OF CONSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q
<br /> DESCRIPTION OF WORK } I D f I �Dy) �C �II (UPi Lr�i� /WD�YJ � l�-i PI�I
<br /> BUILDING SIZE l �� � SQ FOOTAGE p l �! HEIGHT �I�7O � GQ�IG l�IOG,E'�1 � •'
<br /> �BUI DING $ 1
<br /> � �Q � VALUATION OF TOTAL CONSTRUCTION �
<br /> [�]EL CTBICAL $ ,vOD oo AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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<br />, QPLUMBING $ � �
<br /> ��9�� �
<br /> QME� HANICAL $ 'n � VALUATION OF MECHANICAL INSTALLATION . % �
<br /> !�/ (, �
<br /> OGAI Q ROOFING Q SPECIACTY 0 OTHER � �
<br /> FINISHED FL� OR ELEVATIONS FLOOD ZONE AREA QYES NO �
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<br /> BUILDER �ie- COMPANY D���%2P/� - i
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �
<br /> Address License# �
<br /> ELECTRICIAN �V-� COMPAWY I
<br /> SIGPlATURE REGISTERED Y/ N FEE CURRE� Y/N , �
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<br /> , Address Cicense# � �
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<br /> PLUMBER COMPANY I
<br /> SIGNATURE REGISTERED Y�/ N FEE CURRE� ' Y/N �
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<br /> Address ' License#' ' '
<br /> MECHANICAL � COMPANY
<br /> SIGNATURE REGISTERED Y/-N � FEE CURRE� Y/N
<br /> Add�e'ss - - " - ,. L•icense.# ,
<br /> � 's�:. .. ,
<br /> OTHER= CpMpqNj� . , i
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<br /> SIGNATURE� - REGISTERED Y/.N. FEE CURRE�' . Y./N
<br /> Address�. _ _ License#
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<br /> .-RESIDENTIAL',� Attach.(2).Plot Ftans;'(2)�sets of Building=Plans;'(1-)'set of Energy Forms;R,O-1N.Perrriit.for new construction,
<br /> , ,.��. Minimum.:ten,(,10)working:days after submittal•'iiate. Required onsite;Constniction Plans,Stormwater Plans w/Silt Fence installed,
<br /> ' � I Sanita,,ry Facilities&�1.dumpster;Site.Work Permit for subd'ivisionsflarge.projects �
<br /> COMMERCIAL Attach(2)complete sets of Builcling Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
<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 Work Permit for all new projects.All commercial requirements must meet compliance
<br /> , SIGN PERMIF Attach(2)sets of,Engineered Plans.
<br /> . Ij '"*'PROPERTY SURVEY required for.aII.NEW..construction.. , ,
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<br /> Di�ections: � •._. � � '
<br /> • Fill out alpplication completely. � ;
<br /> Owner&�iConVactor sign back of application,notarized
<br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) ` '`-`• �- - -p-- `- �-• - - '
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<br /> " Agent(fii the�contractor)or Power`of,'Attorriey,(foFtFie owner)�,woulct be someone with notarized letter,from ouvner authorizing,same ' ,� � , ,
<br /> OVER THE C�OUNl'ER�P;,ERMITTING ;'� .',�(dopy of:cqntract required)_ `� �� � ' � ^ � , • , !
<br /> � Reroofsifshillgles Sewers Service�Upgrades PJC;: �``'Fences(PIoUSurvey/Footage) , �,` : _, . . _>._... _. _ _ ,� , �
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<br /> Driveways-Not over Counte��if on public roa8ways::needs ROW �'
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