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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> Building Departrnent
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<br /> Date Recelved . - ° Phone:ContacEforPerrtilttln -
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<br /> Owner's Name i d� Q �S < < S� Owner Phone Number
<br /> Owner's Address �" � t�r �}v� Owner Phone Number
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<br /> Fea Simple Tltleholder.Name � Omier Phone Number �
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS LOT# �
<br /> SUBDIVISION P..ARCEL,ID# �
<br /> • . (OBTAINED FROM PROPERTY,TAX NOTICE)
<br /> WORK PROPOSED :NEW CONSTR ADD/ALT Q SIGN' Q• � Q DEMOLISH
<br /> � INSTALL B y REPAIR � �
<br /> PROPOSED�USE � Q SFR. Q �COMM � ' Q -OTHER '
<br /> TYPE OF CONSTRUCTION Q� ' 'BLOCK " Q FRAAflE � Q ,STEEL p
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<br /> DESCRIPTION OF WORK o2 ( d�/ � �i S G C S
<br /> BUILDING SIZE' SQ`FOOTAGE� ,HEIGHT��. .
<br /> QBUILDING $ VALUATION OF TOTAL CONSl'RUCTION ''
<br /> QELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ -- _^ ���
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<br /> QMECHANIGAL $ ���0 VALUATION OF MECHANICAL INSTALWTION �� �
<br /> QGAS Q ROOFING .Q SPECIALTY, Q OTHER �
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
<br /> BUILDER COMPi4N1f�'
<br /> SIGNATURE REGISTERED Y/ N 'FEE CORREA Y/N' .
<br /> Addres� ' ' l:lcense#
<br /> ELECTRICIAN- . .'COMPANY " � • •
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE��� �Y/'N
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<br /> Addr�ss ' Ucense.#�� - `
<br /> PLUMBER ' . - � . COMP,ANY - .� '. . . -
<br /> SIGNATQIRE` � ' " ; _REGISTERED YI<N, . �, Fee Cuw�n_ ; ' Y/N. _
<br /> Address License,# : _ _ - ,
<br /> MECHANICAL` 1 � COMPANY. � �-'� �d^'
<br /> SIGNATURE � � � � ` REGISTERED,� Y./ N . FEE,CURRE�. . Y./rN �
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<br /> Addreas''; . , - • , • ' , -, License#� .
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<br /> OTHER .. , - ` . _ - � ' t'COMPAMY , . - �. , � , �
<br /> SIGNATURE =:. - _ '�''� "- '' �'' ' y ' 'REGI3TERED� ' Y/ N .. '�FEE CURRE� Y/N
<br /> Address �,� � � - Gcense#� . � ,
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<br /> RESIDENTIAL;;,.- �AttacFi'(2);PIot;Plans;,.(2)sets:of�Building�Plans;`(1)sef of=Energy>Forms;:R�O-VU Pertriit for new construcUon, '
<br /> �:r Mintmum;.ten;,(�1,0);worli(ngrd"ajis�after;submlftafdate.;:Requlreil onslte;Constnictlon'Rlans;=Stortnwater Plans w/SIIt Fence installed,
<br /> � �� "SanitaryJFaciliUes:&s1„dumpste_r,-;81te.Worlc�Permit forsutidivisionsllarge_projects,. -,.. �. ' ' ' �
<br /> COMMERCIAL Attach(3)`complete sefs of Buildfng`Plans plu§a'Ufe S'afety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. -
<br /> M(nimum ten(10)working days'after submittal date. Required onsite,Constructlon Pians,Stormwater Plans w/Silt Fence fnstalled, ,
<br /> Sanitary FaciltHes&1 dumpster.Site Work Permit for ali new�proJecfs..All commerGal requiremen�must meet compliance �
<br /> SIGN PERMIT Attacfi"(2)sets ofEngineer,edcFlans:: :. � - . v �;, � `
<br /> ""PROPERTY SURVEY reguired for all,NEW,gonstructlon.. _.. � •
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<br /> Directlon�: �• r�.. . '
<br /> FIII out applicaUon completely. "
<br /> Owner 8 Contractor sign back of applicaUon,notarized �
<br /> If over a2500,a Notice of Commencement i�requlred. (AIC upgrades over 57500)
<br /> " Agent(for the contracfor)?or Power of Attomey(for tFie owner)would be someone with notarized letter from owner authorizing same
<br /> DVER THE COUNTER:PERMITi1NG--- w-,-(Front of Application-Only)- � �
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Drivewaya-Not over Counter if on public roadways..needs ROW'
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