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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> - Building Department . -
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<br /> Date Received ,
<br /> , , i O ' ��— l 7 :.: Phone=Contact forPermlttin ` g�3 �( S _ S'�i 9 7 ":
<br /> Owner's Name �0.�r���� S ���0 n.� � Owner Phone Number �� � g �� S��
<br /> Owner's Address � � ��� G°�" ��J Owner Phone Number -
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<br /> Fee Slmple;Titleholder Name � - Owner Phone Number
<br /> Fee Stmple�Titleholder Addres� �'��Q '�e� � U � �G✓( F �G .S �
<br /> JOB ADDRESS lO� �� Cj oc�C.O ��U ' LOT# �
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<br /> SUBDIVISION . ' P.ARCEL ID# • - `
<br /> ; ,, � , , ,. (OBTAINED EROM.PROPERTY,Td9X NOTICE) �
<br /> WORK PROPOSED =�NEW CONSTR . ADD/ALT Q` SIGN' Q �Q DEMOLISH
<br /> ; e:: INSTALL e� ; REPAIR �
<br /> PROPOSED,USE • Q SFR. Q �COMM' ' Q �OTHER -• '
<br /> TYPE OF CONSTRUCTION Q • BLOCK ' Q FRAME � :� STEEL Q�
<br /> DE3CRIPTION OF WORK µ �� (,
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<br /> BUILDINGSIZE' • SQ FOOTAGE " - HEI.GHT��,.j,�.., - �`
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<br /> QBUILDING $ VALUATION'"OF TOTAL CONSTRUCTION �
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<br /> QELECTRICAL $ ' AMP SERVICE �] PROGRESS ENERGY Q W.R.E.C.
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<br /> QP,LUMBIfVG � $ '
<br /> OMECHANICAL . $ VALUATION O.FMECHANICAL INSTALLATION_ ��� � G �
<br /> QGAS Q ROOFING .Q SPECIALTY Q OTHER �
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. _NO
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<br /> BUILDER , Q � COMPANY=' -'- -
<br /> SIGNATURE REGISTERED Y/ N 'FEE cuR�n ' Y'1 N�
<br /> Address • License.#'
<br /> ELECTRICIiAN. •. . COMPANY ' � •� �
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE��� Y/N
<br /> Addre�s " � ' � -, :;: License#
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<br /> PLUAABER; : ; COIIAPANY : ,. • ..� �
<br /> SIGNATURE` � r" � � , �`„REGISTERED . X./:N"� �-.�I;FEE CURRE�: ' ' Y/N: -
<br /> Address :Licenseu#�
<br /> MECH�4PIICAL'� . � . ,, � - COMPANY �- ` -• ' �. -
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<br /> SIGNATURE - � - � � � ' ''` , REGISTERED,� Y,/ N.�. : ;; FeECURREn._ Y./_N. l
<br /> Addreas�� : `" , � l . }�" , . License#� -
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<br /> OTHER ' = .� , � � � .' :COMP�,ANY =� -
<br /> SIGN�►TURE •� - -• � � � ° � - REGISTERED`� Y/ N,_: FEE CURRE� Y/N
<br /> Addre�;. .. ,. . -.. -r - , ,. ;License#. _ , . � - ..
<br /> RESIDENTIALy: ,Attacli`(2)::PlotrPians;.(2)sefs'<".of:Building�Rlans;(1)�sef'of:Energy�Foiine's`;'�R=O=WPer"rr"iit�farnewconstruction,, ' `� � -
<br /> -�- ::.Minimum;,tem(s1;0)uvorking�days,after;submiftal'date�;Required onsite,tConstruc�on�Plans;Storrnwater'Plans w/'Sflt�Fence installed,
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<br /> 3anita'ry FacilfNes,&;-1:,dumpsterrS(te,Work;Permit for,�subd'ev,isions/large'.projects�� ,:�. �- " - �v �� �
<br /> COMMERCIAL Attech 3�com'lete sets of'Buildin""Plans plus a Life Safefy Page;(1)set of Energy Forms.R-O-W Permit for new construetion. �
<br /> Mintmum ten(10)working days after submittal date. Required onsite,ConsUucdon Plans,Stormwater Plans w/Silt Fence installed, �
<br /> Sanitary Facilitles 8 1 dumpster.Site Work Permit for all neinr;�projects:.All commercial requlrements_must meet compliance ' � i
<br /> SIGNPERMIT AttacFi"(2)"`setsof'Engineer,ed;P.l'ans:;,. �,.�:_ . •., ie.. - -
<br /> "••PROPERTY SURVEY reguired for all_NEW.constructlon.. . . _ _ _ '
<br /> Directlons: :-���:�,:' .-. - - - .
<br /> Ffll out applicadon completely.
<br /> Owner 8 Contractor sign back of appltcatlon,notarized
<br /> If over SZ500,a Notice of Commencement is required. (AIC upgrades over�7500j
<br /> ew �..s;v.f�?Y=:1.��;:.;3'i' i
<br /> AgeM(for ttie contractor)or`PoYire�of Attomey(for the owner)�would be�someone with notarized letter from owner authorizing same
<br /> DVERTHE�COUNTER,PERMITTING--- -•-- �(Front-of•ApplicaBomOnly)- � - � '
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Driveways-Not over Counter if on public roaduvays..need`s ROW�` �
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