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S 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> , • • Building Department
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<br /> Date Recelved
<br /> Phone Contactfor Permitting - _
<br /> . Owner's Name �v�- Owner Phone Number
<br /> !, Owner's Address Owner Phone Number
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<br /> , Fee Simple Titleholder Name Owner Phone Number
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<br /> ,, Fee Simplei Titleholder Address
<br /> ' I �� JOB ADDRESS LOT#
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<br /> � SUBDIVISION PARCEL ID#
<br /> � WORK PROPOSED , . NEW CONSTR ADD/ALT � SIGN NED FR�OM PROPERTYT�ncE)DEMOLISH
<br /> B INSTALL 8 REPAIR
<br /> PROP.,OSED USE Q SFR Q COMM � OTHER '
<br /> TYPE':OF CONSTRUCTION Q BLOCK • Q FRAME Q STEEL Q
<br /> /i�i� ,
<br /> DESCRIPTION OF WORK �/ (J(7� G� � �� c�- G✓Y�
<br /> BUILDINGSIZE SQ FOOTAGE� HEIGHT •.
<br /> QBUILDING $ VALUATION'OF TOTAL CONSTRl1CTION
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<br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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<br /> QPLUMBING $
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<br /> � OMECFiANICAL $ VALUATION OF MECHANICAL INSTALLATION
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<br /> � Q_f AS Q ROOFING Q SFECIALTY 0 OTHER
<br /> ! FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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<br /> � BUILDER� COMPANY
<br /> SIGNATURE REGISTERED Y�/�N FEE CURRE� Y%N. ;
<br /> � Addr Iss License#
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<br /> , 'ELECTRICIAN , COMPANY I7lJ`�(L -�r�C� vr�,'� �vJ
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<br /> SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N
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<br /> 'Address License# ' �
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<br /> PCUMBER., COMPANY
<br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N
<br /> � Address License#
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<br /> , MECHANICAL � COMPANY -
<br /> , ` SIGNATURE'' REGISTERED ; Y/ N FEE CURRE� Y/N -
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<br /> Address��`° � License.#-
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<br /> �' OTHER�% �k'°'� s " " COMPANY ,
<br /> I ,�"SIGNATURE:>= :.�• •^= - - • - � REGISTERED Y/.N_: FEECURREK Y/N
<br /> ��,�.p;:^..�.-`. � . ., . .
<br /> Address., - � - License#
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<br /> �'',RESIDENTIAL��,�: `Attacfi;(2):Plot°;P.lari's;''(2):se't's of�Buildirig•'Plans;(1�)�sef of�Energy'Fomis;�R=,O=W Pe.rmit,for new.construction,
<br /> =-,a��;;,,-::>.;-;��;yMinimum;tern;.(,10),working,days;after�sutimittal�dafe.Required'orisite;�Con`stniction Plans;Stormu"vater Plans w/Silt Fence installed,
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<br /> Sanita;ry;FaciUties;&�1�,dumpster;:Sife;WorkBermitfo��subdivisions/large`.p�ojects` - �� � �
<br /> �I-COMMERCIAL Attacli(2)'complete sets'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 /> I 5�` � Sanitary Facilities&1 dumpster..Site Work Permit:foF-all-new projects.All commercial requirements must meet compliance
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<br /> •�;�SIGN'PE IT "`Attach°(2)sets:of;Engineerecl�Plans:�f� : � � ��
<br /> �:�,'.,;`-, �I "•`PROPERTI'SURVEY requlred for aILNEW..construction._ _
<br /> � `;Dl�ections: .,;,;�t, .;;... _ -
<br />'i � ; FIII-:out applicat(on completely.
<br /> � 'Ovuner.&ConVaGtor sign:back of application,notarized
<br /> � If over$2500;a Notice•.of Commencement ts required. (A/C upgrades over$7500)
<br /> , , '"'' Agent(fortfie�c'onf�actor)�or°Rower`of'Attomey(for tFie owner)wouldbe someone with notarized letter from owner authorizing same
<br /> �'-OVER`,THE COUNTER PERMITTING: , (copy_of-contract-required) " "` � �
<br /> ; .'Re�oofs if sHingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> , ' Driveways-Not over Counter if on public roadways..needs ROW
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