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�,:�-��u-uuzo City of Zephyrhills Permit Application Fax 813-780-0021 �;
<br /> Building Department . � i
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<br /> Date Racelved . Phone�Contact for Permittln t
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<br /> Owner'a Name � � r �- Owner Phone Number r,
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<br /> Owner's Address Owner Phone Number '`
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<br /> Fee Slmple Titleholder Name ' Owner Phone Number r
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<br /> Fee Simple Titlaholder Address ��
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<br /> JOB ADDRE33 � � LOT# � E,
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<br /> SUBDIVISION - PARCEL.ID# � o�-�� �a ���� ��d�O �O� � ;,
<br /> (OBTAINED F.ROM PROPERTYTAX NOTICE) ' '
<br /> WORK PROPOSED � NEW CON57R' ADD/AtT � Q` SIGN' `Q ` Q DEMOLISH � �
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<br /> INSTALL. REPAIR ,
<br /> PROPOSED�USE Q SFR• Q GOMM • Q OTHER � f
<br /> TYPE OF CONSTRUCTION Q� ' BLOCK " Q FRAME Q STEEL Q ��
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<br /> DESCRIPTION OF WORK' � Q !�l GL/l�l.c�� �
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<br /> BUILDING SIZE ` "SG FOOTAGE ' : ;HEIGHT�, ;
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<br /> QBUILDING $ ' � • i
<br /> , VALUATION.`OF TOl'AL CONSTRUCTION - • ,
<br /> QELECTRICAL _ $ " AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. I �
<br /> QPLOMBING $ '- ! j
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<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLA7'ION I i
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<br /> D�S Q ROOFING . I +
<br /> Q SPECIALTY � OTHER ' i
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO i
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<br />, BUILDER COMPi4NY� � �
<br />', SIGNATURE REGISTERED Y/ N . ' -FEE CURRE� Y/N , j
<br />' Address ' � License#' �
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<br />� ELECTRICIAN-- : �-COMPANY � ,
<br /> SIGNATURE � REGISTERED Y/ N FEE GURRE��' ' ''Y/N
<br /> Addreas � , License:# � ' ;
<br /> PLUMBER ` ', .COMPANY „ , �
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<br /> SIGNATURE' ` � ,. REGISTERED� - Y./x.N-r ; � FEE CURRE� = Y/N;
<br /> Address ' ' ��.License,#� : •
<br /> MECHANICAL' : COMPANY, Cv�i �
<br /> 31(iNATURE - � � REGISTERED Y,/ N FEECURRE� _ - Y,I�N �
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<br /> Add�ess � ` ' �
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<br /> OTHER ' - ` � ' ' � , ' ' ;COIQIPANY,,� � . .
<br /> SIGNATURE •`}�' : ;: °'�,''. ', - • � �" � ' ` REGISTERED Y/'N,:_:, FEE CURRE� . Y 7 N
<br /> Address 1 .�. ' � . � " Clcense `
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<br /> RESIDENTIAL,=- rA ''cti"'2 ;Plot;Plan`s'�'2 "s`ets;of�Bufldin"iPl'''�`� "`:�,' -? �•F` ± _ '�:� `i �`, .-e �
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<br /> ) etof Ene Fo'rtn'
<br /> � � 9 ,'( ) s;�R=0=11V Perrnitifcr'new con
<br /> . . .� nJY• . , struoUon,, _
<br /> - •Minimum�tep��1,0;workin �d_ ', ''� ` " �'"` �
<br /> � _:;s:.•:,.:..�,�, ., . (v_),,,. ,9,_ays`"aftef�submittel'date.:�:Requlredonsite;::Con"strucHon�Riansr$tormwaterPlans�w/SilYFenceinstalled,
<br /> � SaNtary FaclljUes;&s.1:dwmpster,�S(te-Wortc;;.P.ermitfor sutitlivisionsAaige=proJeqts;y;,:;=°:�:� � " �
<br /> iL ,'�sr�:t�r.�t':i 1.:..r�..n V.:�^?�'A'..>�1:..;,.,,n...a...: . �.
<br /> COMMERCIAL Attach(3)'complete setis'of'Bullding'Plans plus a Gfe Safety�Page;�(1j set of Energy Forms.R-O-W Permft for new canstrucUon. �
<br /> Minimum ten(10)working days after submittal da4e. Requfred onsite,Construction Plans,Stormwater Plans w/Sflt Fenc;e installed,
<br /> Sanitary Facilitles&1 dumpster.Site Work Permit tor all new:proJects..All commercial requirements,must meet compllance -
<br /> SIGN PERMIT Attach"(2)'sets ofEnginieered;Plans:.. .-:� - �.,� - • -
<br /> •"'PROPERTY SURVEY reguired for all,NEW_construcUon.. , i
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<br /> Di�ectlona: ..,.. _ �
<br /> FIII out eppllcadon completely.
<br /> Owner 8 Contrector slgn back of appifcadon,noharized �
<br /> If over 52500,a Notice.of.Commencement Is required. (AIC upgrades over 57500) i
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<br /> '" qgent(for ttie contracMr)'or'Poviiei of'Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same ;
<br /> DVER THE COUNTER:PERMITTING --- •(Front of•ApplicaBon-Only)-- -- � ,
<br /> Reroofs If shingles Sewers Servlce Upgrades A/C Fences(PlodSurvey/Footage) !
<br /> Drlvewaya-Not over Counter if on public roadways:.needs ROW j
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