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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department ;4�
<br /> DatetReceived,, ` Phone Contact for Permitting -
<br /> Owner's Name `ri e0.C%� 'ti'���'� .�CO✓��'� Owner Phone Number � �3 � S�v".S g 7
<br /> Owner's Address �o o�y� ��[.� ���� Owner Phone Number ��� c�3 g" 7 3��
<br /> Fee Simple Titleholder Name Owner Phone Number
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<br /> . Fee Simple Titleholder Address
<br /> _ JOB ADDRESS LOT# �
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<br /> E, SUBDIVISION PARCEL ID#
<br /> � (OBTAINED FROM PROPERTY TAX NOTICE)
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<br /> �� WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH ,
<br /> = i , e INSTALL e REPAIR �
<br /> �� PROPOSED USE Q SFR . Q COMM 0 OTHER 'I
<br /> t; TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q , I,
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<br /> DESCRIPTION OF WORK , —r`@� S[ �c� . ,
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<br /> ,`�`� BUILDING SIZE SQ FOOTAGE HEIGHT
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<br /> � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION ,
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<br /> � QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C: I
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<br /> � QPLUMBING $ ,
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<br /> y OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
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<br /> �GAS Q ROOFING Q SPECIALTY � OTHER
<br /> y FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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<br /> � BUILDER '' COMPANY I
<br /> � SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> � Address � � License# �
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<br /> � ELECTRICIAN COMPANY �
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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<br /> � •Address License# ' '
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<br /> i PLUMBER - COMPANY ' � �
<br /> � SIGNATURE REGISTERED ' � Y'/'N _ FEE CURREI� - Y/•N' �.
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<br /> � Address � License# �
<br />' ! MECHANICAL: _ _ COMPANY - � , .
<br /> , SIGNAT.URE REGISTERED Y/ N ; - FEECURRE� � �;-,Y../-N ��,
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<br /> Address License#
<br /> OTHER , � C.OMPANY -
<br /> SIGNATURE �REGISTERED Y/ N FEE CURRE� Y/N,
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<br /> �' Address License# �
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<br /> t,-, RESIDENTIAL` "'Attacfi',(2)PlotwPlans;`(2)sets of Builcling Plans;,(1)set of,Energy�Form,'s;`R=O=VU.,Rermit'for new construction,.
<br /> ��;: Minimum ten:(:1.0):workmg daysafter'sutimittal d'ate. Required onsite,=ConstructlomPians,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
<br /> " �'" -COMME(2CIAL Attach 2 com lete sets of Buildin Plans lus a Life Safe Pa e; 1 set of Ener Forms.R-O-W Permit for new,consVuction. �
<br /> � ) P 9 P h! - 9 � ) 9Y
<br /> Minimum ten.(10)working;days after submittal date.'Requi�ed`onsite,Construction:Plans,Stormwater Plans w/Silt Fence installed,
<br /> - Sanitary Facilide's&1''dumpster.Site Work Permit for all'hew projects.All commercial requirements must meet compliance
<br /> - SIGN PERMIT Attach_(2),.setsof Engineered Plans. ,-
<br /> - '*""PROPERT.Y.SURVEY'required for all NEW construction. ,
<br /> Directions:
<br /> Fill out application completely.
<br /> Owner:&Contractor sign back of application,notarized I
<br /> If over$2500,a Notice�of Commencement is required. (AIC upgrades over$7500) I
<br /> ** Agent(for.the.contractor).or-Power of Attomey(for the owner)•would be someone with notarized letter from owner authorizing same �I
<br /> -OVER:THE COUNTER PERMITTING (copy of contract required) i
<br /> Reroofs ifVshingles Sewers Service:Upgrades A/C Fences(PIoUSurveylFootage) ,
<br /> � , Driveways-Not over Counter if on public roadways..needs ROW
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