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� , e7�a- eo-oozo City of Zephyrhills Permit Application Fax 813-780-0021
<br /> Bullding Department
<br /> Date Recelved •
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<br /> Owner'�Plamle (�cl�e., �l �� Own�r Phone Number �
<br /> Owner's Address �0 �� �-� L Owner Phone Number•
<br /> Fee Simple TItleFiolder:Name - Owner Phone Numbe�
<br /> Fee Simple T(tleholder Address A
<br /> JOB ADDI2ES3 �O �'S LOT# �
<br /> SUBDIVI310� . - PARCEL ID# ' '-.2 � - ���� 'CC��OO— Q(�C
<br /> . (OBTAINED F.ROM�PROPERTY,TAX NOTICE)
<br /> WORK PROP SED x;..NEW CONSTR , ADD/ALT C'_] SIGN' '[] • � Q DEMOLISH
<br /> ,., � .B. INSTALL 8 ,,,•REPAIR
<br /> PROPOSED:.U$E , : Q SFR. [�. COMM . Q � OTHER`
<br /> TYPE OF CONSTRUCTION'4� �Q" '>'BLOCK " `Q FRAME � :[�: STEEL `Q
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<br /> DESCRIP710N OF WORK' -
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<br /> BUILDING:SIZE�`� • "3 S =' SQ.FOOTAGE�"� ,HEI,GHT .. �
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<br /> QBUI DING $ � VAL.UATION'>:OF`.TOTAL CONSTRUCTION ��
<br /> QELECTRICAL $ ' AMP SERVICE. ` =.Q'� '�PROGRESS ENERGY Q W:R.E:C.
<br /> OPL I MBING - (.$ � . . .
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<br /> OME� HANICAL' - ^ $ " � � "VALUATION OF�MECHANICAL`INSTALLATION. ��.
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<br /> Q� � ROOFING Q „ SPEGIAL7Y,::�,_,.,.;OTHER, ., . • �
<br /> FIfVISHED FL� OR ELEVATIONS FLOOD ZONE AREA ,QY�S. ,NO
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<br /> BUILDER COMPANY• -�.'�' .. .- . .. . � � , . .
<br /> SIGNATURE REGISTERED Y/ N .� '`����FEE'CURRE� "' k Y/'N` " �
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<br /> SIGNATURE�" � REGISTERED Y/ N FEE_GURRE��� `'z �
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<br /> MECHH�►NICAL`' ' , ;' •• � - , �. � '' COMPANY. -..^ , . ..
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<br /> REGISTERED , Y/_,N FEE CURRE�--.. Y./�N
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<br /> RESIDE °t7 . .. ��,.<:..<�....: _�. ��_-.. � . .. , .... , . , . _.. . .
<br /> N AI��..�Atta'ch�_(2)aPlot�Plans;r(2<)sefs�of'Bu6ding�f�lans;(1)set'of=En'ergy=Fo"r►ns,R=O=VU°Permy�for new�construcUon,. . .
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<br /> �-��_��;Minimum�.ten#.(�1;0)_aworl�ing�d�ys�,afCe.r;;subm�Etal�:def"e.�sR'equlred onsite;'ConsUiictlon�P.lans;Storinwate��Plans�w/SIIt Fenc'e installed, '
<br /> � San(fe`ry'Fadlttites_s&tl�dwrr�pster„Slte,.Worlc_,Pertnit;#or.sutidivislons/large.�projects�`�:�,��;��; ">>�..�,>.'�;� '�:s��' � .
<br /> COMMERCIAL Attech(3)•eompleie'sets of'Bullding Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-0-W Permit for new construceon. ' � _
<br /> _ _ Minimum ten(10)working days after submlttal date. Requtred onsite,ConsUuc�4lon Plans,Stom►water Plaris w/Silt Fence installed,' '
<br /> - Sanitary Fecilitles 81 dumpster.Stte Work Permit for all new:projects::All commerc(al_requirements_must meet compllence "`` " -
<br /> - SIGN PERMIT AttacFi(2)°sets ofEngineefedsPlans:i;,.f;�:�.s�;-,,::�3<..=:;F,;,- �- . .: �' ._- ' -� .
<br /> I ••"PROPERTY SURVEY requlr�d for all NEW constructlbn._. __ _ . i` . -
<br /> DI"r"ec�lons: II :-:_rsa���;t....,.�:� .. -- � �-
<br /> FIII out applicatlon oompletely.
<br /> Owner 8�Contractor sign back.of appltcatlon,notadzed
<br /> Ifover�2500,a Notice:of.Commencament Is rsqulred. (AIC upgrade�over s7500) .
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<br /> " Agent(foli the contractor)cr Powie�of Attortiey'(for the owner)�would be someone with notarized letter from owner authorizing same
<br /> OVER.THE.COUN.T,ERuPERMITTING�- --�:-•(Front�of•Application�Only) -�-- ` � '"� � �
<br /> Reroofs If shirigles Sewers Servica Upgrades A/C Fances(PIot/Sunrey/Footage)
<br /> Drivewa II -Not over Counter if on public roaduvays:.needs`ROW` , { � ,.�, _ �� . � � �
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