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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> • Building Department
<br /> Date Received : �i �� f� phone Contact for Permitting —
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<br /> Owner's Name Owner Phone Number
<br /> Owner's Address Owner Phone Number
<br /> Fee Simple Titleholder Plame Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOBADDRESS - - � - — �- LOT# �
<br /> SUBDIVISION PARCEL.ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e ., NEW CONSTR e ADD7ALT � SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROP.,OSED USE Q SFR Q COMM 0 OTHER
<br /> TYPE'OF CONSTRUCTION Q BLOCK • Q FRAME � STEEL Q
<br /> DESCRIPTION OF WORK �� �
<br /> BUIL'"DING SIZE SQ FOOTAGE� HEIGHT �
<br /> OBUILDING $ O VALUATION'OF TOTAL CONSTRUCTION
<br />�I QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �
<br />� �
<br /> QPLUMBING $ Q �OC ��
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<br /> � ..dra' '
<br /> IGI,ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> /V QGAS Q ROOFING Q SPECIALTY � OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> BUILDER ` COMPANY -
<br /> SIGNATURE ( � REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address -License#
<br /> � 'ELEC,TRI,CIAN COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br />, , Address License# °
<br /> PLUMBER., COMPANY �
<br /> SIGNATURE REGISTERED Y-/ N - ., FEE CURRE� Y/N
<br /> Address � License#� .�
<br /> � .MECHANICAL � COMPANY
<br /> '"�SIGNATURE'" ` � REGISTERED Y/ N , FEE CURRE� Y/N
<br /> Address=�' ' License.#
<br /> s�t(r.. ,
<br /> OTHER� ��" - � COMPANY
<br /> i ��'SIGNATURE;.�., << .� - ' REGISTERED Y/N FEE CURRE�' Y/N
<br /> T'.' „ . ,. . . . . .
<br /> � -Address:- - � - - � � License#
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<br /> '-;`,:RESIDENTIAL��;;. '�AitacFi�(2):Plot��Plans;`(2):"sefs�of;Builiiing�Plans;j1•)setoPEnergy,Forms;R;O=W Permit,for new.construction,��
<br /> <.�:r,�,_��_.-�- Minimum,:te�,,(�10)working�iJays after'submittal:date.:Required"onsite;Gon`s`tniction Plans,°Stormwater Plans w/Silt Fence installed,
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<br /> _ . Sarjitary;Faeilities.&-;1�dumpster;.Sife,Work-Permitfor.�§ubdivisions/large:projects� ,
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<br /> �s:COMMERCIAL Athactr(2)'`complete'sets'of BuiliJing Plans-plus a Life Safety Page;(1)set of Energy_Fortns.R-O-W Permit for new construction. -
<br /> • : Mi�imum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed,
<br /> -� � Sanitary EaciifUes 8 1 dumpster..Site Work Permit fo��all new projects.All wmmercial requirements must meet compliance
<br /> :,.;,'`,:. � .,. . .
<br /> ���_SIGN�.PERMIT AttaoFi"`(2)sets of;Engineered'Plans.��� �. - - -
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<br /> f�'��=•� PROPERTY SURVEY required for aII.NEW construction.. �
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<br /> :�Directiqns:. ,v<:,i��; -, ,
<br /> -� EIIU:out application completely.
<br />, - �Owner&Contra�tor sign back of appllcation,notarized
<br /> If.over$2500,a.Notice of Commeocement is required. (A!C upgrades over$7500)
<br /> �'" Agent(forth'e�cont�acto�)�orPowerofAttomey(for'tlie owner)would'be someone with notarized letter from owner authorizing same
<br />, ';'OVERiTHE�COUNTER4PERMITTING. ,,. .,(capy.ofcontract-required)`' � ' � �
<br /> :;=Reroofs.if sfiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Driveways-NotoverCounter,if.nn.public;roadways::needs•ROW=�'�:", yR,,,,«-F�-.:--:<:,�•--,.,J.-�.:-.,:,,,,.�_.-�.,.-.:�, _ .._ -
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