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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
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<br /> • Phone Contactfor Permitting J — J� _
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<br /> ' 'Owner's Nal e � Owner Phone Number -
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<br /> � Owner's Address �� � I �. Owner Phone Number
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<br /> � Fee Simple�Titleholder Name Owner Phone Number
<br /> � Fee Simple Titleholder Address
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<br /> Z JOB ADDRii SS 1O LOT# �
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<br /> SUBDIVISION PARCEL ID#
<br /> � (OBTAINED FROM PROPERTY TAX NOTICE)
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<br /> WORK PROPOSED . NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH
<br /> I B INSTALL B REPAIR
<br /> PROP.O.SEID USE �] SFR Q COMM Q OTHER :
<br /> TYPE':OF CONSTRUCTION Q BLOCK • Q FRAME 0. STEEL Q
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<br /> DESCRIPTION"OF WORK /S/��V � !�(/�� 4�-S � �Ce
<br /> BUIL"DING�SIZE SQ FOOTAGE� HEIGHT •
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<br /> BUILDING �/ $ ;j, / � VALUATIOIV'OF'TOTAL CONSTRIJCTION
<br /> �.•%
<br /> �LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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<br /> QPLUMBING $ /�/OG
<br /> I � II ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
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<br /> Q,II AS Q ROOFING Q SPECIALTY Q OTHER ' J,, '�
<br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �r
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<br /> BUILDER I, n( � ��OMPANY t'1��
<br /> SIGR1ATURE V� REGISTERED Y'/ N FEE CURRE� Y%N
<br /> Address License#
<br /> ELECTRICIAN ; - COMPANY
<br /> .. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# � �
<br /> PCUMBE�.,: COMPANY�
<br /> SIGNA7'URE ���sTERe� Y/ N` Fee cuRrten " Y/N
<br /> , Addrelss License#
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<br /> I MECHANICAC' � COMPANY
<br /> � SIGNATURE'' � REGISTERED Y/ N FEE CURRE� .. . Y/N
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<br /> � Addte'ss4` License.#
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<br /> i :. OTHER=�. ��"� �: � ' , ' ' COMPANY
<br /> � `SIGNATURE3= .;_ .•- � , - REGIBTERED Y/.N FEE CURREK Y/N
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<br /> 4 ''r?'r"T�� : "� -- - - '. ' '_ � � . - '
<br /> � Addr'ess:•- License#
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<br /> "�RESIDEN.TIAI.>�;;. ';Attacfi;(2):PlotyP,lans;'(2)"set's'�of Buildirig=Plans;(1�)°set of�Ene�gy,Portris;R=.O-W Perm`it:for new.construotion, ,
<br /> �. °��x•-:::�.:.:.--:-,;.Minimum;ten�(;1Q);worlcing,cJays�aftersubmittal�iJate."Required'onsite;`Constru'ction Plans;Stormwater Plans w/Silt Fence installed,
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<br /> ;� ,._ , Sanifary4Facilities;&�,1=:dumpster•;;SIte;WorkReFmitforsubdivisions/large.projects'- � �
<br /> - �:�COMMERCIAL Attach''(2)�complete'sets'of'Building Plans plus a L'ife Safety Page;(1)setof Energy Fortns.R-O-W Permitfor new construction.
<br /> �I Mlnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans�w/Silt Eence.installed,
<br /> " ;i Sanitary FaclliUes&1 dumpster._Site Work Permiffo�all-new projects.All commercial requirements must meet compliance
<br /> �r�='SIGN:PERMIT "Attach"(2)`sets,of:,Engineered,Plans:�r. .t: •
<br /> f I """PROPERTY SURVEY required for aII.NEW construction:_
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<br /> ; ��;:Dl�ectloris: s•,.i�.*A'� . -
<br /> " Flll-out application completely. ,
<br /> � - • Owner 8�Contractorsign back of.application,notarized
<br /> , If over$2500;a Notice�of Commencement ls requlred. (AIC upgrades over$7500) _
<br /> ,'"'` Agent(for'tliesscont�actor)'or°Rower of Attomey(for tFie owner)would�tie someone with notarized letter from owner authorizing same
<br /> �;�OVER.THE COUNTER�PERMI7'TING> .�. (copy,of,contract-required) ` " ��' � � -
<br /> � ;::;Reroofs if'shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Foohage)
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<br /> _ D�lveways-Not over Coun;e[if on public,�oadway§:.needs ROW s , . _ .�.._�r.•a�.�,s;r,:.:,x�_r.r._.�„ ,._ ,.,
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