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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> Building Department .
<br /> Date Recelved � ° Phone Contact'for Permlttln
<br /> Owner'a Name S�e e\ (`�-5(18W �h�` �5(Tt�eS Lhe Owner Phone Number ���3 7��-��$�
<br /> Owner's Address �$�f$ C..2N ;� /4r� � Owner Phone Number �_ �
<br /> Fee Simple Tltleholder Name � Owrier Phone Numbe� -�
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS ��� 2 �.��.5;� �v e Z- �.;�l �'L 33 S �oT# �
<br /> SUBDIVISION PARCELID# �2-z,�a�`Z:�-Q2(oa- OO�Oa 3 �`,
<br /> , � , (OBT6aINED FROM PROPERTY,TAX NOTICE)
<br /> WORKPROPOSED �.;NEW.CONS7R ADD/ALT Q SIGN` �Q Q DEMOLISH
<br /> �B� INSTALL B <<REPAIR �
<br /> PROPOSED:USE � . Q SFR Q COMM ` Q •OTHER �
<br /> TYPE OF CONSTRUCTION � Q � �- BLOCK ' Q FRAME [�_ STEEC 'Q
<br /> DE3CRIPTION OF WORK � e �" �0 0 � `,n. S � h , �'6t�;� ,�$
<br /> BUILDING SIZE ' - � ' SQ FOOTAGE �8� , , � HEIGHT �. � 5�'r ,
<br /> QBUILDING . $ ,t 9 DO VALUATIONyOF=TOTAL CONSTRUCTION , �
<br /> R�J
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<br /> QELECTRICAL $ - AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ,
<br /> OPLUMBING�- $ -
<br /> QMECHANICAL $ ° ' VACUATION OF;MECHANICAL INSTALLATION
<br /> QGAS [� ROOFING Q SPECIALIY Q OTHER�
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> BUILDER COMPANY�
<br /> SIGNATURE REGISTERED Y/ N `FEE CURRE� ` Y'/N
<br /> Address � License#' ��
<br /> ELECTRICIAN , =COMPANY ' ' �
<br /> SIGWATURE � REGISTERED Y/ N FEE CURRE��� � �Y 6 N '
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<br /> Addre"s's � '�� ` � . • , . License# �
<br /> PLUMBER COMP.,ANY � , �
<br /> SIGNATURE' �' �` � ' REGISTERED , : Y/�.N•: ' -FEE CURRE� Y/N ��"
<br /> Address � _ License,# '�•�..-
<br /> MECHANICAL` " � � COMPANY. '
<br /> SIGNATURE � � ' �� ' '� �� REGISTERED , Y,/ N , ; FEE CURRE�. Y/N , _
<br /> Address" � � , , ` � ..� , . � , . � ' ,Ucense#: - . , •
<br /> <<.. . -. � � . - - -
<br /> �,\ .,
<br /> ,OTHER , � � ", �'COM,PANY � � M���-�2� �, .r� S e.wt. I..1r�.
<br /> SIGNATURE ,_., ' ' - ' ' - ' "REGISTERED`` Y/ N... � FEE CURRE� Y/N.
<br /> -•,.
<br /> Address� , ':3�.1.5.:l+J�n:o ev� '.l;dUr. .l';JeS�a- :et� e.�':,' 3.3�y 3 "U'cense# L°�'�` l3 Z`�7 - � , '
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<br /> RESIDENTIAL'_,�,�;�Atta.cti(2),;Plot%Plans;;.(2)sets.of�Building�Plans�(-1�).set of:Energy;;Foims;R=O;W'Perrrilt far new construcGon,, ' „
<br /> . ,.-..�.," ,.,
<br /> „ .��-Minimurti;,ten�(<1.0);wo,rlcing;daysrafter„submittal-date::�Required"onsite;.Constnictlon-Rlans;Stortnw+a4e'r Plans wl SIIt�Fence instailed,-
<br /> `"'Sanftary`EacillUes_;&:,1,,dumpster;3lte Work�.Permitfor;sutidivisions/large projects=,-,_::._ � ..,., . � . _. ."
<br /> .n,., =
<br /> 'COMMERCIAL Attach(3)�complete�sefs�of'�B'uilding Plans plus a Llfe Safeiy Page;(1).set of Energy FoRns.R-O-W Permit for new:constructlon.�'
<br /> M(nimum ten(10)working days'after submittal date. Requtred onsite,ConsUucBon Plans,Stortnwater Plans w/.Silt Fence installed, -
<br /> Sanitary Facilitles 8 1 dumpster.Site Work Pertnit for all naw:proJeots:,All commercial-requlrements.must meet compllance�` �� � � "
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<br /> -SIGN PERMIT AttacFi"(2)'�sets�of�Engineer.eil;Plans::�_-,+->".°' . . -' ` ' , -
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<br /> ••••PROPERTY SURVEY�requi�ed.for all NEW_con,_struction..., - - - �=-� -�- -- _
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<br /> Dl�ections: .. _.,., . . , � � _.. _.. _ __ � . _ .
<br /> Ffll out applicatlon completely.
<br /> Owner 8 Contractor_sign back of applfcatlon,noharized
<br /> If overa2500,a Notice of:Commencement is requlred. (AIC upgrades.over$7500) : - . _ _,.
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<br /> '" Agent(for tfie conttacto�)'or Power of Attomey(for Uie�owner)�would be�someone`wlth notarized letter from owner authorizing same
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<br /> DVER�THE:COUNTER.PERMITTING-- �---(Frontof-Application-Only)-• - '
<br /> Reroofs if shtngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage) , ._ _ , . _
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<br /> Drlvewaya-Not over Counter if on publfc roadways..�eeds ROW ' -•���••�-=�'' � �
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