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- 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> duilding Department
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<br /> Date Recelved,i ��' �� ��� Phone Contact for Permitting " � _ � G
<br />, Owner's Idame I � 1/ /�d�0� �� , ��� Owrner Phone idumber , O� 7�� (� �
<br /> Owner's:Addrei s ?��� ` Owner Phone Number
<br /> Fee Simple Titlll holder Name Owner Phone Number
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<br /> Fee Simple Titleholder Address
<br /> I �JOB ADDRESS / O S � /�� ( LOT#
<br /> SUBDIVISION I C��t/`G�/� � PARCEL ID# �a,S- dO � OGOO OO�CJ
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED . NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH
<br /> e INSTALL B REPAIR
<br /> PROP.OSED USE Q SFR Q COMM [� OTHER ,' ��l� ,
<br /> TYPE:OF CONSTRUCTION Q BLOCK - Q FRAME 0 S,TEEL Q , -
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<br /> DESCRIPTIOPI OF WORK � A'/ i' � /i. e/� �f0 -
<br /> BUILDING'SIZE , SQ FOOTA E�. . HEIGHT .
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<br /> QBUI��DING $ VALUATION-OFTOTAL CONSTRUCTION �
<br />� QELEC7'RICAL , $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
<br /> OPLUI BING $
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<br /> MECHANICAL $ q VALUATION OF MECHANICAL INSTALLATION ��
<br /> � � 0 0 � �
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<br /> QGAS Q ROOFING Q SPEGIALTY Q OTHER �
<br /> FINISHED.FL i OR ELEVATIONS FLOOD ZONE AREA QYES NO '
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<br />�_BUILDER, -I ,- -- - - ---- -- -- COnAPAfdY - — -- - - - --- - -I
<br /> SIGNATURE i REGISTERED Y/ N V FEE CURRE� Y/N ' �
<br /> Addressi License#�
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<br /> ECECTRICIAN COMPANY �
<br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y 1 N
<br /> dddress� Cicense.# �
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<br /> I� PLUM�ER, ,I COMPANY
<br /> SIGNqTURE �Re�isTEREo �Y•/ N FEE GURRE� Y/N
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<br /> Address �
<br /> ,. License#
<br /> MECHANICAI. COM PAIdY �` D
<br /> ��"SIGNATURE� � �. REGISTERED . N FEE CURREfi ' Y N
<br /> Address � O License# , Q,S �js �.�� '
<br /> °;Ri4i�; - ... .. ' ,
<br /> ATHER� ";'��.' COnAPANY
<br /> �SIGNATURE�; � ' - RE�ISTERE� � Y/.N FEE CURRE� Y/N '
<br /> Ad,dressl• . - I� - - - � -License# '
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<br /> - RESIDEJdTIAL;•,� Attach:(2)iPlot'P.lans;':�(2)•sets of�Building�Plans;(4)set of Energy Fomis;�R,O-W P.eRriit;for new..construction, �
<br /> . �. ;;;:_t--;�-,Minimum�.tenr(�10.)inrorking:days after.su6mittal•`date.�Required'onsite;Con'stniction Plans,Stormwater Plans w/Silt'Fence.installed, �
<br /> - � �� - �' �Sanita.ry,;Facilides;&;1 rdumpster;Site.Work�Permit foe.subdivisions/large:projects � ' -
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<br /> -,COPAMERCIAL. Attach'(2)complefe sets of Builiiing�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 /> � 'i Sanitary Facilities�1 dumpster.Site Work Permit foF•all new projects.All commercial requirements must meet compliance
<br /> �-SIGN PERMIT Attacfi(2)sets of,Engineer�d Plans:', �i ' - �
<br /> - ° """PROPERTY SURVEY required for.aII.NEW constructlon.
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<br /> Directions: �� _ �..-. , � �
<br /> Fil('out a,pplication completely. �
<br /> _ quvner&ConVactor sign back of application,notarized " �
<br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) '
<br /> " Agent.(for'the contiaotor)orPower�of Attomey(for�tFie`owner)would be someone with notarized letter from owner authorizing same !
<br /> 'OVER THE COUNTER PERMITTING,, _(copy.of-contraetrequired) � ' ' ' ,
<br /> Reraofs if shingles Sewers Servtce Upgrades A/C Fences(Plot/Survey/Footage)
<br /> DNveways-Not over Counter if on public roadways..needs ROW
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