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a�3-Iso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
<br /> - Building Department
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<br /> Date Rece'ive � •
<br /> �� Phone Contact for Permitting • -
<br /> Owner's Nam ,� ��� l. Owner Phone Number � �f` � �
<br /> Owner's Addri ss . L (� ie.t Owner'Phone Number
<br /> Fee Simple Ti�leholder Name Owner Phone Number
<br /> Fee Simple Ti leholder Address
<br /> JOB ADDRES � ��� � i �� 1-L� �0' i �y �,(, LOT# I !O
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<br /> SUBDIVISION � N � PARCEL ID# L.�� - •� ' �� �?-S?D f7D D L G 6n
<br /> (OBTAINED FROM PRO ERTY TAX NOTICE)
<br /> WORK PROP SED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED SE Q SFR Q COMM � OTHER
<br /> TYPE'OF CO i STRUCTION Q BLOCK • Q FRAME 0 STEEL Q
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<br /> DESCRIPTIO I OF WORK /'1'r � t� CC.
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<br /> BUILDING SI i E �€`� �� fOOTA �l � � HEIGHT �
<br /> I UI DING $ •Zi /'_r�'1,� LUATION OF TOTAL CONSTRUCTION
<br /> (OU CJ
<br /> QEL�ICTRICAL AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
<br /> QPL IMBING $
<br /> QMEi� HANICAL $ VALUATION OF MECHANICAL INSTALLATION � , r C'� �
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<br /> QGAI Q ROOFING Q SPECIALTY � OTHER
<br /> FINISHED FL OR ELEVATIONS FLOOD ZONE AREA DYES NO
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<br /> BUILDER ���� jl_ ""' � �COMPANY ���e��
<br /> SIGNATURE; <<��"e� REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addressl � '�, �License#
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<br /> 'ELECTRICI COMPANY
<br /> SIGNATURE � REGISTERED Y/ N � FEE CURRE� Y/N
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<br /> ' Address, ticense# � ' r
<br /> PLUMBER I �
<br /> COMPANY
<br /> SIGNATURE , REGISTERED Y/ N FEE CURREA ' Y/N
<br /> Addressl License#' '
<br /> MECHANIC I � COMPANY
<br /> SIGNATURE � REGISTERED : Y/,N " FEE CURRE� Y/�N
<br /> Add'ressl� � : L•icens,e,#
<br /> .�_. � . ,
<br /> OTHER+ `" � � COMPANY
<br /> SIGNATURE=jI - REGISTERED _ ;-Y/.N . FEE CURRE�' Y/N
<br /> Address� , ,
<br /> License#
<br /> RESIDENTI � ; Attach(2)"Plof Plans;'(2)�sets of'�Building Plans;(1)�set of Energy Forms;R=0-W Permit.for-new.construction,
<br /> � , ;,. Minimum ten;(10)working;days after§ubrriittal iJate. Required onsite;Con'striiction Plans,Stormwater Plans w/Silt Fence installed,
<br /> _ Sanita,ry:Facilities:&�_1..dumpster;Site,Wodc Permit for subdivisions/.large°projects
<br /> �� .COMMERCI I Attach�(2)complete seYs�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,Stormwater Plans w/Silt Fence installed,
<br /> � San(ta.ry Facilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance
<br /> SIGN PERMI i4ttacli(2)sets of;Engineered Plans. �
<br /> . I •*"*PROPERTY SURVEY_required for aII.NEW construction.
<br /> Directions: �I , . - -
<br /> Fill otit a�#plication completely.
<br /> Owner&,ConVactor sign back of application,notarized
<br /> If over$ 500,a Notice of Commencement is requ7red. (A/C upgrades over$7500)
<br /> " Agent(fo 4h'e�cont�actor)or Power�of�Attomey,(fo�,�tFie owne�)would be someone with notarized letter ftom owner authorizing same
<br /> ,:OVER THE C�UNTER P.ERMITTING ..; , (copy,�of contract-�equired)" ; _.._._p .,..�_ _� .,,, „ „ ,.�
<br /> Reroofs if shin les Sewers , � Serpice•Upgrades,A/C ' Fences(Plot/Survey/Footage) `� '_ „ ';;t.�_ •
<br /> � ..,. . : _;, .•, ��< ,:1 ;, �i ,, . :, "-._ , � ,.
<br /> Drivewa -Not over Counter if on public`roadways::need`s R01N' . � _ � �
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