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e1s-�eo-oo20 � City�of Zephyrhills Permit Application Fax-ala-�ao=oozl
<br /> , ' Building Department ' _ , � •
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<br /> Date Received ' F '
<br /> Phone Contact'for Permitting -- ,
<br /> Owner's Name � � a ey � � Owner Phone Number ��'1�. � �.7�n O
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<br /> Owner's Address �Owner Phohe Number
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<br /> Fee Simple Titleholder Name G.�ri � Owner Phone Number �s
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<br /> Fee Simple Titleholder Address
<br /> JOB ADDRES5 ���� � �Y" f �{{ �`� LOT N � f
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<br /> SUBDIVISION S�1 � ��r'� �p PARCEL ID# � /'"�m�l��������������
<br /> (OBTAINED FROM PROFERTY TAX NOTICE) �
<br /> WORK PROPOSED �NEW CONSTR e ADD/ALT � SIGN 0 � '� DEMOLISH
<br /> INSTALL REPAIR ' n
<br /> PROPOSED USE �� SFR Q COMM 0 OTHER '
<br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
<br /> DESCRIPTION OF WORK ��� S��/�j��7��-���, I�5���-/�C� �J�esQ ba-'�'� '����-`
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<br /> BUILDING SIZE SO FOOTAGE H�IGHT
<br /> 'QBUILDING $ � �� VALUATION OF TOTAL CONSTRUCTION 'Y
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<br /> QELECTRICAL $ ��� AMP SERVICE � PROGRESS ENERGY .� �] W R.E.C.
<br /> �PLUMBING $ ���� �
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<br /> MECHANICAL ��
<br /> 0 $ /��� VALUATION OF MECHANICAL INSTALLATION ��;;�
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<br /> �GAS � ROOFING Q SPECIALTY � OTHER '�
<br /> FINISHED FLOOR.ELEVATIONS .�� - FLOOD ZONE AREA QYES NO :� �
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<br /> BUILDER � ��
<br /> COMPANY � T - � � '�1� � C
<br /> SIGNATURE � � � �� �
<br /> REGISTERED Y/ N FEE CURRE� Y'/N
<br /> Address ����v?����Co/� /'r' I M C License t# �TJe-�3�� G� 2
<br /> ELECTRICIAN �`� COMPANY v�iti IY�On�an ��'e LT,r�� CG
<br /> SIGNATURE �'� REGISTERED Y/ N FEE CURRE� Y'%N r
<br /> Address / �� �' ,5�L� �Cr' �,�.�G��.. �- License# �'ci 3aes5 �� I
<br /> PLUMBER � � COMPANY d/"/'1 C/'S'7�0 /1 •���-�tS
<br /> SIGNATUHE �� REGISTERED Y/ N FEE CURRE� Y� N �
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<br /> Address � �v�-.� LGL License# G�� I y2�82
<br /> MECHANICAL �� COMPANY �1�0 r�5v� �� �-1 ir-�y s-�-cn-� 1'
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y;/N
<br /> Address 5�j0� c�s����'f, ��r..��l J`��,� License# V C�
<br /> OTHER ��-�.�� COMPANY � 1 �L Cr/'fS� �Qp�n ��
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y,- N ,
<br /> Address �.�'J"f� f �7'?f%' ,��-- ��,,c+-z �' License/# � C,,.t�,��,� � � !
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<br /> RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms;�R-O-W Permit for new construction,�i,
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans v�/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
<br /> COMMERCIAL Attach (2)complete sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit fo�new construction.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plahs yJ/Sllt Fence installed,
<br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must mee�compliance
<br /> SIGN PERMIT Attach (2)sets of Engineered Plans. � ��
<br /> ****PROPERTY SURVEY required for all NEW construction. '•
<br /> D�irecti~ns 1--1--�-1--I�i..1-.1..1...1--1--1_I-.1-.i_I-.��1--1--+_f-��.�-4�-1-.�..4-1--1_4-1--4.L-1--��1�-1--1_I--1-1._I--1..�• • • • :� • • • • 1.�..�_1--1...
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<br /> Fill out application completely. � �
<br /> Owner&Contractor sign back of apPlication,notarized ' �! '� ' •�
<br /> If over$2500,a Notice of Comrrmencement is required. (A/C upgrades over$7500) �
<br /> ** Ageht(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizin I'sarne
<br /> OVER THE COUNTER PERMITTING co g'
<br /> ( py of contract required) �
<br /> Reroofs if shingles Sewers Service.Upgrades A/C Fences(Plot/Survey/Footage) , ,
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<br /> Driveways-Not over Counter if on public roadways..needs ROW " . _-� � ��
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