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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
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<br /> ' Building Department
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<br /> Date Received Phone Contact for Permitting —
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<br /> wner's Name J�2(` ��1 S Owner Phone Number ��� g0� �3
<br /> Owner's Address ���� l� 5'�re e'� Owner Phone Number
<br /> Fee Simple�Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> IIJOB ADDRESS ��a--� —l,f � S�ee`1 LOT# �
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<br /> SUBDIVISION PARCEL ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROPOSED ��,. NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROP..OSED USE [I�� SFR Q COMM 0 OTHER
<br /> TYPE'OF CONSTRUCTION Q BLOCK - Q FRAME 0 STEEL Q �
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<br /> DESCRIPTION OF WORK � �.�U� ' C�� ��S r �� PI
<br /> BUIL"DING SIZE SQ FOOTAGE� HEIGHT •
<br /> BUILDING $ ' /' �� VALUATION"OF TOTAL CONSTRUCTION
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<br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ ���
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � l"
<br /> QGAS Q ROOFING Q SPECIALTI' 0 OTHER ''�
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
<br /> BUILDER (.,�`o � COMPANY ���ne'�
<br /> SIGNATURE� REGISTERED Y�/ N FEE CURRE� Y/N
<br /> Address -License#
<br />� 'ELECTRI,CIAN COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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<br />� Address - License# '
<br /> P.LUMBE�R., COMPANY
<br /> SIGNATURE REGISTERED Y•/:N ` FEE CURRE� Y/N
<br /> Address , .-License#' .
<br /> :.: .MECHANICAL � COMPANY
<br /> " SIGNATURE'' � REGISTERED - , Y,/ N FEE CURRE� Y f N =
<br /> Add'r`e"ss�" ' � � � License.#
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<br /> ` OTHER�'.;,R' � � � COMPANY •
<br /> '.SIGNATURE7;. � • - REGISTERED Y/ N FEE CURREK , Y/N
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<br /> . Addressr.; � - - � ' L'icense#
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<br /> :'�RESIDENTIAL,�;� 'Attaclr;(2)::PIot;P.lans;'(2)':"sets of.�Building�Plans;(1•)`set of�Energy_Forrris;R;O-W,PeRnit.for new.const'ruction,� , .
<br /> �-:;yMrs>. �-•>Minimum;ten:(10).working?daysafter'sutimittal•date:��Requi�ed�'onsite;ConstructionPlans,=StormwaferPlansw/SlltFenceinstalled,
<br /> :y • �,,,-;�-,°�, •.. • ,
<br /> - � Sanita�ry;Facilitiesr8���1�.dumpster;Sife;.Wor;kPermit.for,subdi"visions/large�projects �
<br /> ��:EOMMERCIAL Attech(2)complete''sets of'Builiiing Plans plus a`L'ife 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 /> Sanitary Facilities 8�1 dumpster.,Site Work Permit"fo�all-new.projects.All commercial requirements must meet compliance
<br /> ;��`':SIGN:PERMIT �i4ttaafi�(2)sets:qf;Engineered'Plansa� .- � � ' � �
<br /> ,z�;�r�, '"""PROPERTY SURVEY,requlred for.all,NEW constrvction.�- �
<br /> ';.Directions: �. . .- , , 't . •
<br /> � "�- Ftll out�application completely.
<br /> � �O.wner&Contraotor sign back of applfcaGon,notarized
<br /> If over$2500,a.Notice of Commencement-Is required. (A/C upgrades over$7500) • _
<br /> `'�"' .i4genY(for'tFie�conVactor)`or Power'of'Attortiey(fo�'tFie oinrne�)would be someone with notarized letter from owner authorizing same -
<br /> �':;OVER;THE COUNTER,PERMITTING., ,..:,.:,.(copy,.of.contract=.�equired) �� - : - � ' � ,
<br /> ;`Re�oofs if sh(ngles Sewers .'� Service�Upgrades A/C, Fences(PIoUSurvey/Footage) � '_ ; ,
<br /> ' Driveways-Not over Counte�if on putiflc'roadways..needs ROW � � ' ' r� .
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