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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> Bullding Department ,
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<br /> Date Reae�ved ' , , �t� � � ' �� � ,
<br /> � e: Phone�Confact'for Permlttin � �
<br /> Owner's Name le � Owrner Phone Number � r�3'—� , , 3� 8 .
<br /> Owner'sAddre�s •��3� . / � f�E'i � ' OwnerPhone.Number •
<br /> Fee Simple TItleNolder-Name � Owner Phone�Numb�r � �
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<br /> Fee Simple Titleholder Addresa
<br /> JOB ADDRESS � L ��
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<br /> sueowisio� ���fC . , PaRce�.io,� �3� �5' :�.I d/1SD D D��L� i
<br /> ' � . (OBTAIPIED EROM PROPERTY,TAX NOTICE) ,
<br /> WORK PROPOSED .* NEW CONSTR ADD/ALT Q� SIGN` °Q � Q �DEMOLISH
<br /> _ , . .:e: INSTALL, ,.,•REPAIR -
<br /> PROPOSED..US� , _ . -• :Q SFR []. COMM . � � OTHER . �
<br /> TYPE OF CONSTRUCTION �' �Q" r'BLOCK t � FRAME � STEEL' 'Q �
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<br /> DESCRIP710N OF WORK' � C��S o � /C � �gm d �� �'� �
<br /> �UILDING=SIZE� � � - � �'SQ�FOOTAGE�� � , , HEIGHT�.� '
<br /> QBUILDING � VALUATION'"OF'TOTAL COySTRUCTIi�N . , ' �
<br /> Q ELECTRIGAL $ ' AMP SERVICE. � Q "PROGRESS ENERGY Q W.R.E:C.
<br /> QPLUMBING- .$ ' - � '
<br /> QMECHANICAL'' � $ �"� 'VALOATION OF�MECHANICAL INSTALLATION:
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<br /> Q�S � ROOFING� ,Q; ;, SPEGIAL'tY;.�],�;_,;;OTHER,_.; , •
<br /> FINISHED�LOOR ELEVATIONS FLOOD ZONE AREA QY�S. ,NO
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<br /> BUILDBR COMPi4NY:. � . �.°, - , u . , - . '
<br /> SIGNATURE REGISTERED Y/ N ' �:'F.EE CURREt�=` '" Y•/'N' � ,
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<br /> Address ;�,°:.::. � ..•�<<��z . -.�License"#' �+; '
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<br /> ELECTRICIAN, ,_ , - � 5-'COMPANY � -- ;'- .`•�` _ " . - ._ -�
<br /> SIGNATURE� � REGISTERED � Y/ N �E�CURRE�=� `7�>:Y/�N°• -' - -
<br /> Address', . .. ' .,, ' � ,. 's" . ;_"- . , , : ` - .;` ';;%^,.; .:Lfcense�#�; . ,; �., . . r.
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<br /> PLUMBER.' ` .C.OMPAN;Y, _ - �
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<br /> SIGNATUftE� � �� " - . - . �; 'REGIST,ERED . .Y:/>.N;c ;-rFEe:CUR�n.•� .- �Y�/.N,. _
<br /> Address . , ., ' - -� ,License#,� � `-� � . -.
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<br /> MECHANICAl:` ' _. ` ' � COMPANIC ��"�1Z5, _f' tl�.'`, , J• �" CG7-!V�'.
<br /> SIGNATURE� �� �� ��G��" � ' ' ��isrEREo . Y l,N -_ ��CuaREn:. YJ�N .
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<br /> OTHER -• � - .. �. .,. .. , ,, ,.� -;�. . - >;� - . �• . ' - ' . ,.
<br /> ` ` CONiPANY" _-:;�,, „�
<br /> SIGNATURE�: ..._- " _ " -- ;, -• ,�,. T•, ,_ .. , , ,F *., S^D^<' " �
<br /> "�:: REGISTERED� Y/ N:..�., 'FEE CURRE���, YY N
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<br /> ���688 °,:��° »,�G^ _ ;.y�i".f`• ..b:. . � :'i .. '�4V':1' , , : . - ' -i. • , � , -. -
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<br /> �RESIDENTIAL,�: �Attach?(2)aP1o.t�;Pians;;:(2)sefs-:of8uilding'Plari§;'(1)sef-of�Energy�Fortns;°�R=aW�Per''mit`for new�construcyon,: � -'
<br /> _ �;Mtntmum en. 10�wor141n fd�j �aiter�'submittal%date�� x:r. - • � - � -'Sr- a'"°,-.
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<br /> -'- "��:;; ... , "�, ) ... 8�. Y,s` Required - - on:� � talled,.
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<br /> "tisite�Cona 'eB" Plans�•Sto'miviia er-Rlans wi%SII�F nce ins
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<br /> Santtary' FadllUes,8�:;1t;dwrr�pster�„�Site•.,W.orfc.iPertnit;fqr,subdivislons/large�projectss��.:!:1.��.� _;�:`-i�;v , _ _, ��° •
<br /> CO[NMERCIAL Attach(3)�vompleCe�sets`of�Building'Plans''plus`a Gfe SefefjTPage;�(1)set of Energy Forms.R-O-1N Permityfor neW construation.• �
<br /> Minimum ten(10)working days after submittal date. Requtred onsite,ConstrucHon Plans,Stormwater Plans w/SIIt Fence installed,
<br /> Sanitary Facilitles 8 1 dumpster.Sfte Work Permit for all new+proji�cts'rAll commercial requlrements_must meet compllance �°
<br /> _ SIGN PERMIT Attacfi'(2)"sets of"En`g,i`neerediPlaps:,,,::,::�-,.. ,...•;$::'-„�.,��. ,.- -- -. --
<br /> •"'PROPERI'Y SURVEY requlrec�_for all NEW_constructlon�,._.. _. -
<br /> Dlfec:tions: -r'�-' S;:- . . :�
<br /> FIII out applicatlon completely.
<br /> Owner 8 Contractor slgn back.of appltcaUon,notarized
<br /> If over�2500,�,Notice of.Commencement la r�qulred. (AlC upgredes over$7500) _
<br /> :i'ti�+-7�,��,:`:;'`�,�
<br /> " /�qent(for the contrdcto�)�or'Poti've`r of Attor?iey"(for the owner�w�be someone wlth notarized letter from ownar authorizing same ,
<br /> DVER•THE.COUNTER.PERMITT(�G`'�'•"�krontp�p i�}�on=0ta,ty,) - � �����^-M>' `� �'-^-._:��--�-- _ �
<br /> Reroofs if shingles Sev�ers '�'�Serv,ice U�g,ra�,es4;A/C;';f;'�7en'e�1.f(Plot/Survey/Footage) .�a�q"���:� �.;,!''���� , a -
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<br /> .ne"eds' O.W,.:= r� ' 2? ; L z��7��w� �:;�nu; t•t
<br /> Drlvewaya-Not over Counter if on'publlc'roaiiuyays; R �' � � J�� u _ 4 - 1° _ ��,
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