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813-780-0020 Ci4y of Zephyrhills Permit Application Fax-813-780-0021
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<br /> , Building Department _ h
<br />' Date Recelved �.�� ��?7 — d�� -r �
<br /> !� -� Phone Contact'for'Permittln
<br /> Owner's Name [ � �Q Pi Owner Phone Number �j ' �/�— �
<br /> Owner'�Address 7�� � l.Q� Owner Phone Number�. �—
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<br /> Fee Simple;Titleholder Name � Owner Phone Number '
<br /> Fee Simplet Titleholder Address _
<br /> JOB ADDRESS 7�lf/ �i>"I v� • ��I- LOT# �
<br /> SUBDIVISION [/e�` � �(9�rJ(�� I�'. � PARCELID# �o�^ �v'�-�(�d�J� "'aDoa� - D���
<br /> i - , , . , (OBTAINED FROM,PROPERTY.TAX NOTICE)
<br /> WORK PROPOSED ;NEW CONSTR ADD/ALT �Q SIGN Q Q � DEMOLISH
<br /> • B, INSTALL B� REPAIR • •
<br /> PROPOSED��USE - Q SFR. � Q � COMM '�` Q �OTHER • � ' �
<br /> TYPE OF CON3TRUCTION Q" � BLOCK " Q FRAME �� [� STEEL' Q
<br /> DESCRIPTION OF WORK � � � ,Q� [� " .P � �'j-�' —�O'c`-� „
<br /> BUILDING SIZE` � SQ FOOTAGE� HEIGHT�.1
<br /> QB,UILDING $ VALUATION"OF`TOTAL CONSTRUCTION" ° .`'
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<br /> QELECTRICAL $ � , AMP SERVICE Q `PROGRESS ENERGY Q W.R.E:C.
<br /> QP�LUMBING< '$ � :. - - - . � .
<br /> � � � 1 ���
<br /> �MECHANICAL $ VALOATION OF,MECHANICAL INSTALLATION
<br /> ; �'/S��d�c� . , ; .
<br /> QG,A,S Q ROOFING Q SPECIALTY Q OTHER�
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<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
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<br /> �UILDER , COMPANIf� - ` � . ` ' -
<br /> SIGNATURE REGISTERED Y/ N FEE CUR�� ` � Y/N
<br /> �►ddreas Lfcense# ' ' �
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<br /> ELECTRICIi�N COAIIPANY •
<br /> SIGNATURE � REGISTERED Y/ N FEE CURREM�' `Y/N �
<br /> Addreaa . � , ' � , , � � - : License# ` " - .
<br /> PLUMBER; �, •�.COMPANY � ,
<br /> SIGNATURE' ' ' ' � ; ,REGISTERED.- .YJ3.N.° �_ �u FEE-CURRE�� " YY N . .,
<br /> Address , :- � , . , .,. -+ ,
<br /> . ; , _ _.License,.# �.
<br /> MECH�INICAL` - , . ` COMPAMf .C.. O ~�.�::'L;_.- �- .
<br /> SIGNATUFtE - ` ' '� ` REGISTERED � , . .Y,/ N ,s ;;,FEE CURRE�•__ - , X,/rN . , ,
<br /> Addreas=„_ yG, ,� O :; h.,.�S �2-� LL J�?Gi'. �`• � , / / 3
<br /> License# ��.:`�G . � ,
<br /> � „ - _ ,. �,3 s�j� = ,
<br /> OTHER ,-� � . . . . - `;COMPANY - , , �
<br /> SIGNATURE :.� �#�'�` -• - -� ` -� - ' ' REGISTERED� � ' Y/ N:.. � FEE CURRE� Y/N
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<br /> Address �r` t;;�_ - - ' - �_ • . - ' " Cicense# " - � , � �
<br /> RESIDEIVTIr41:, _ Attach"(2),';PIot�Plans;�(2)sets:of;Building�Plans;.(1)'setof-Energy�Forins;��R-a1NPerrtiitfornewconstruction,, � '
<br /> : s�.�Minimum.teq;(1,0)working;d"ays;after;submlftal date.�;Requlieil onsite;�ConstiucHonrFlans;`Storinwater'Plans w/SIIt�Fence installed,
<br /> � Sani�ary�Facllfdes<&:1;dumpste,r,;3(te�Worlc:Permitforsu6div.fslohs/iarge�projeats;._N°_ -�;_ _� � � �� �, �:` � . ` �
<br /> COM�ERCIOAL Atiaci�(3)�comptete sets`of Builiifng Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-O-V11 Pemiit for new construction.� �
<br /> Minimum,.ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Facilitles 8 1�dumpster.Site WorR Pertnit for all neav�projects:.All�mmercial requlrements_must meet compllance •
<br /> SIGN PERMIT Attach(2)'sets of Engigeered;Plans:;,�: ��• . �... � _ • � � � .
<br /> - "`•PROPERTY SURVEY reguired_for,all NEW conshuctlon.., .._ .
<br /> Directlon�: .... -: _„
<br /> Fill out applicaUon completely.
<br /> Owner 8 Contractor sign back of appltcaUon,notarized
<br /> If over�2500,a Notice of Commencement I�requlred. (AIC upgrades over�T500) , , ,
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<br /> Agent(for ttie cantractoF)or"Powe�of Attoriiey'(fo�the owner)�would be someone with notarized letter from owner authorizing same �
<br /> DVERTHE•COUNTER..PERMITTING--- -- -(Frontof.ApplicatiomOnly) r " , I
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) '
<br /> Driveways-Not over Counter if on public roadways..needs ROW' � ' �
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