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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 Recelved � � � � . ; phone.Contact foe�PermlNf �d —
<br /> Owner'a Name ° ' Owner Phone Number �
<br /> Owner's Address b 1� 1 ' Owner Phone Number�
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<br /> Fee Slmple;Titleholder Name Owner Phone Number �
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<br /> Fee Simple�Tltleholder Address �
<br /> JOB ADDRESS ' �
<br /> � � D � �LOT# �
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<br /> SUBDIVISION PARCEL ID#
<br /> � . (OBTAINED FROM.PROPERTY.TAX NOTICE)
<br /> WORK PROPOSED NEW CON57R . ADD/ALT Q SIGN Q Q DEMOLISH
<br /> �,e- INSTALL 8� _ REPAIR • -
<br /> PROPOSED�.USE � .Q SFR. Q COMM Q OTHER
<br /> TYPE OF CONSTRUCTION Q' � BLOCK " Q FRAME ' [� `STEEL Q
<br /> DESCRIPTION OF WORK � �
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<br /> BUILDINGSIZE �`SQ FOOTAGE� ,,HEIGHT�� .
<br /> OBI�LDING� �/, $ / //U� VALUATI OF�TOTAL CONSTRl7Cl'IOI�,^
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<br /> ` �� �'Z � �c� v'�`� ��"�.�L�c..�.
<br /> QELECTRICAL $ - AMP SERVI�E Q PROGRESS ENERGY Q , W.R.E.C.
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<br /> QPLUMBING :$ - �
<br /> QMECHANICAL ' $ VALUATION OF MECHANICAL INSTALLATION � C t O��
<br /> QGAS Q ROOFING .Q SPECIALTY Q � OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES. NO
<br /> BUILDER QQ A, ��� COMPANY' _ s_. ..
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<br /> SIGNATURE (/ l�� REGISTERED N FEE CURRE� ' ' Y`/N
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<br /> Address l:icense#
<br /> ELECTRICIAN; � COMPANY ' -
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRE��' '' ' �Y/N
<br /> Address �' " ` � � ; . .:. License# -� - ,
<br /> PLUMBER _ \ , COMP_ANY .� : . ' ,
<br /> SIGNATURE' " . ReG�s'1'ERED., _ ;. =.YJ�•N : FEECURRE� Y-/N =
<br /> Address ` . � License,# :
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<br /> MECHANICAL` • � ' � C.OMPAMf. � � ` ` .
<br /> SIGNATURE �� ' � � REGISTERED � �.,Y,/ N . ; FeECURrtEn• . Y�./:N =
<br /> Address�`-. � � • ' � , = -` , J License# ` .� I
<br /> OTHEi2 - - _ . � � • , ;;,CO,MPAPIY•. : - .
<br /> SIGNATURE =, �: '� • � - �� � � ' ' REGISTERED ' Y/ N.... � FEE CURRE� Y/N
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<br /> Address - - _ - � ' � Cicense# ' ' ' ' �
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<br /> RESIDENTIAL:: -Attach�(2)��PlotiPlans;:(2)sets=.of;Building�Flans;(1)set of�EnergyiFo"rins;R=O=W=Perrrilt for new construction, "
<br /> - ;,,..-Minimum:ten;(1.0);working�,d@jrs;after;submittal date.%,Requi�ed onsite,:Constrticdon-Blans;`Stortnwater Plans w/Silt Fenceinstalled, '
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<br /> SanitaryFacllldes4&;,1<,dumpster_S(te�Work;P,ermit;for,subdivisionsAarge�proj@cts;:..',.:;.- ' � � ' �
<br /> COMMERCIAL Attach(3)�compleEe sefs-of�Build(ng Plans plus a�Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon.
<br /> Mintmum ten(10)working days after submltNal date. Required onsite,Constructlon Plans,Stortnwater Plans w/Silt Fence installed, --
<br /> Sanitary Fadl(tles 8 1 dumpster.Site Work Permit for all new;projects:.All commercial requlrements must mcet compliance '
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<br /> SIGN PERMIT Attacfi'(2)"sefs of Engfneer,ed,Flans:;,�,:.•,-- .� • � - � �
<br /> "••PROPERIY SURVEY required_for.all.NEW constructlon..
<br /> Directlons: :.� >�:_;:-°. ;:
<br /> Fill out applicatlon completely.
<br /> Owner&Contractar sign back of applfcaUon,notarized
<br /> If over 52500,a Notice of Commencement is requlred. (AIC upgrades over�7500)
<br /> '" Agent(for the�ctintraotor)or Powe�of Attomey(for tFie owner)would be�someone with notarized letter from owner authorizing same
<br /> DVER THE COUNTER,PERMITTING�- ---�(Front of•Application Only)•-� - � "
<br /> Reroofs if shingles Sewers ' Service Upgredes A/C Fences(PIoUSurvey/Footage) ' ,
<br /> Drivewaya-Not over Counter if on public roadways..�eed's ROW" , �
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