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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-002�
<br /> Building Department . '"'�
<br /> Date Recelved , � ✓ G U phone=Co cEfor P..errtilttin
<br /> Owner's Name /17/t U�V� Owner Phone Number
<br /> Owner's Address ��(.�.� � ; �� -u-� OarnerPhone Number - }.f.3� � ��
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<br /> Fee Simple Titleholder Name � • Owner Phone Number
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<br /> Fee Simple Tltleholder Address
<br /> JOBADDRESS ��` ��� �ji I/ � u-�. LOT# �-��
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<br /> SUBDIVI�ION �C�t ti� ��U.`�j�' pARCEL ID# �s�.�` ;'
<br /> � • . (OBTAINED OM PROPERTYTAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR ADD/ALT �Q SIGN� Q � Q DEMOLISH
<br /> � -.B: INS3'ALL 8� ; REPAIR
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<br /> PROPOSED:USE , �• Q SFR [� -COMNI Q •OTHER ' "
<br /> TYPE OF CONSTRUCTION � Q` BLOCK ' Q FRAME � �] STEEL Q
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<br /> DESCRIPTION OF WORK ' c�p („l uvc� ��Gi S�� �
<br /> BUILDING 3lZE � �'SQ'FOOTAGE� HEI,GHT�
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<br /> QBUILDING $ 1.bjj - - � - - �
<br /> } �,;3 Z/i,� ` VALUATION�OFfTOTAL CONSTRUCTION
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<br /> QELECTRICAL $ "��j ' AMP SERVICE � �] PROGRESS ENERGY [� W:R.E.C.
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<br /> QPLUMBING $ '-
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<br /> QMECHANICAL $ " VACUATION OF.MECHANICAL INSTALLATION.. �
<br /> Q�S Q ROOFING .Q SPECIALTY. �_ _ OTHER� . -
<br /> FINISHED F,LOOR ELEVATIONS FLOOD zONE AREA QYES �d
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<br /> BUILDER � � � �
<br /> �� COMPANY�� •. ow`�r0��✓
<br /> SIGN�►TURE %��./.�'—'�vv] REGISTERED Y/ N FEE CURRE� ' Y/N
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<br /> Addre�s � � � License# `
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<br /> ELECTRICIAN� .- y� 'COMPANY
<br /> SIGNATURE �` � �" REGISTERED Y/ N F�curt�n�' ° '-Y/N
<br /> Address License# °�
<br /> PLUMBER ; , C.OMPANY • _ �
<br /> SIGNATURE' ' ' .REGIST,ERED. Y./,[N/ , ,FEE.CURREA Y-/N.
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<br /> Addrea`s � • " � : • " . ` , License;#� _. .
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<br /> MECHANICAL' � � -, .COMPANY ._. _ � '. - , � , .
<br /> SIGNATURE� ' � ' REGISTERED.� „Y/..N., FEECURRE�<. ,
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<br /> Address` � � r •, _� � , . - . ., ' License# � -
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<br /> OTHER ";' ' - - " `�COIWPANY .,: _ ,
<br /> SIGNATURE �•s. . �;� , , : - . . �-
<br /> � " � � ' ` �' REGISTERED " ' Y/ N... FEE CURRE� Y/N
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<br /> Addres; ,� _ _ ,; • - ° '- " . - ;U• ..
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<br /> RESIDENTIAL,;: ,A�taofi"(2)�P1otP.lans;.(2)sets•-of�Building�Plan'`s;'(1)sef of�Energy>Fortns;:R-Q1N'PerqiJt for new con§truction,. - ' -
<br /> r�_Minimum;ten;(1.0);worliing;days;aRer�submiftal"date.::Requlred onsife;�Eonstnictlon'Plans;'$tonnwater`Plans-w%ShtYFence installeii,
<br /> � � ��Sanitary Fadlldesy&�.1;,dum.psterNSite,Work;Permit,fcr sub:divisions/large.projects:^-` ;,� . _ � � '�F=� �
<br /> COMMERCIAL Attach(3)`eomplete se4`s`�ofBu118ing Plans�plus a`'Llfe Sefety Page;(1)set ofEnergy Forms.R-O-W Permit�for new construction.
<br /> _ Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new;projects..All cammercial requl[ements,must meet compllance � '
<br /> SIGN PERMIT Attacfi"(2jset§'of Engineer.ed,Plans:� .> ��-�- , ,, ` � ��
<br /> ""PROPERTY SURVEY required for.all NEW construction..
<br /> Dlrectlona: ,_. ' � - �
<br /> Fill out applicaHon completely. '
<br /> Owner&Contractor sign back of appl(caUon,notadzed
<br /> If over�2500,a Notice of Commencement is required. (AIC upgredes over�T500) j
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<br /> " Agent(for the contractor)or"Power o'f Attomey'(for tFie owner)would be someone with�notarized letter from owner authorizing same
<br /> OVER THE COUNTER•PERMITIING- - (Front of-Application Only)- '' � �r
<br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) �
<br /> Drivewaya-Not over Counter if on public roadways'..needs ROW
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