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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> • Building Department
<br /> Date Received ��Z'��� Phone Contact for Permitting —
<br /> Owner's Mame �✓I S Owner Phone Number u�Z '3�0� '�_/Z2
<br /> Owner's Address � lj?i� C�n, r� �/V-Q. Owner Phone Number �
<br /> Fee Simple Titleholder Name Owner Phone Number I
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<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS �b S l�%t.�1 � LOT# � I
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<br /> SUBDIVISION S�e �10��OW PARCEL ID# �Z' Z�D-u-��?,�o�- (��flpJ "l 2�7 l7 �'
<br /> (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> � WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH i
<br /> B INSTALL B REPAIR • �
<br /> PROPOSED USE Q SFR Q COMM 0 OTHER I
<br /> TYPE OF CONSTRUCTION Q BLOCK - Q FRAME � STEEL Q '
<br /> DESCRIPTION OF WORK 1 C ,,� �9 C�CC,
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<br /> BUILDING SIZE SQ FOOTAGE HEIGHT �
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<br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION I
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<br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
<br /> OPLUMBING $ i
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<br />' QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
<br /> 53�3 �
<br /> QGAS Q ROOFING Q. SPECIACTY 0 OTHER �
<br />, �
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO I
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<br /> BUILDEit COMPANY ?
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License.# I
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<br /> ELECTRICIAN COMPANY j
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �
<br /> Address Cicense# '
<br /> PLUMBER, COMPANY
<br /> SIGNATURE REGISTERED Y°/ N ' FEE CURRE� ' Y/N
<br /> Address ' License#' � -� -
<br /> MECHANICAL COMPANY (1GS -i'c� � C��;;.�
<br /> SIGNATURE' ��� REGISTERED � Y/ N " FEE CURRE� Y/N I
<br /> Add're'ss'� � ��� 3 (i�S �I � � �icens,e;# G l�'1 c3b 7 �
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<br />' _ OTHER�'�" � COMPANY ,
<br /> . SIGNAT,URE; REGISTERED • �.Y/ N..��, FEE CURREK . Y/N.
<br /> Address� - " License#
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<br /> RESIDENTIAL '.Attach:(2)'.PIotP.lans;.(2)�'sets�ofBuilding,Plans(1)seYofEnergy;Forms;R-O-1N.P.errriitfor-new.construction,� i
<br /> � , , • Minimum,ten;(.10).wo�king?days aftersubrriittal:date. "RequireiJ�onsite;'Construction Plans,.Stormwater.Plans w/Silt Fence installed, �
<br /> 3 Sanita„ry,•Facilities&:1kdumpster;Sife Work Permitfor.�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 for new aonstruction. �
<br /> Minimum ten(10)working_days after submittal date. Required onsite,Construction Plans,Stormvirater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance ;
<br /> �-•$IGN PERMIT Attaali(2)'sefs of°,Engineered Plans:' � i
<br /> ""**PROPERTY SGRVEY required for aII.NEW construction. � ' � j
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<br /> �!� Directions:. -� ... - I
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<br /> . Fill out application completely. �
<br /> .. Owner&Cantractor sign,back of application,notarized �
<br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) - i
<br /> " Agent(for tlie�contractor)'orPower`of Attomey(for'ttie owner)would be someone with notarized letter from owner authorizing same ',
<br /> ;:OVER THE COUNTER_PERMITTING _ (copy of contract required) �
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) �ci �
<br /> ' . .� ._ iX:•::Rsciat{�:S'��E'.t1�iM��44YLY-l!'��u�u�'.iDfinc•� '
<br /> Drivewa s-N t ov d"waqs�•:neeil's FTbY�!�'r�` «""�'•i°� '
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