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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> ' • Building Department ,�_
<br /> Date Received �i ,
<br /> 2 1���� Phone Contact for Permitting �
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<br /> Owner's Name G�_� U CiQt�' Owner Phone Number �� / �/ � �
<br /> Owner's Address .C9�� N�'c M1� 't�� � S�Ovuner Phone Number
<br /> Fee Simple}Titlehoider Name � Owner Phone Number
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<br /> Fee Simple;Titleholder Address
<br /> JOB ADDRESS `� LOT# �
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<br /> SUBDIVISION PARCEL ID#
<br /> � (08TAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROPOSED e NEW CONSTR'� ADD%ALT 0 SIGN Q � Q DEMOLISH
<br /> ; INSTALL -REPAIR
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<br /> PROP,OSED USE � SFR Q COIVIM 0 OTHER . ,3-?.(o—Z�.. � p0p s
<br /> TYPE`OF CONSTRUCTION Q BLOCK - Q. FRi4ME � STEEL .Q
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<br /> DESCRIPTION"OFWORK I�l�� , � C�. � �(J (�'►F OL � G�JC� S
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<br /> BUILDING SIZE SQ FOOTAG � HEIGHT �. '
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<br /> Q BUILDING $ � D Go� (�j V LUATION'OF TOTAL CONSTRUCTION
<br /> QELECTRICAL $ AMP SERVICE Q ° PROGRESS ENERGY Q W.R.E.C.
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<br />' OPLUMBING $ ' ��
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<br /> QMECNANICAL $ VALUATION OF MECHANICAL INSTALLATION ����.--��
<br /> Q,GAS Q ROOFING Q SPECIALTY 0 OTHER ���'3`'�"
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO -
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<br /> ,.BUILDER I �PANY ►MQ P.(J�vZ�� -
<br /> SIGNATUR� � ` REGISTERED Y-/ N FEE CURRE�. Y 7 N
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<br />= Address License#
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<br /> ; "ELECTRI,CIAN ,, COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE"CURRE� Y/N.
<br /> � Addre�s License# }
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<br /> PL''UMBER,�, •COMPANY •
<br /> SIGNATURE REGISTERED Y;/:N. FEE CURRE� � Y/N �
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<br /> Addre�s License#"
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<br /> `:-MECHi4NICAL' �' � COMP.ANY �
<br /> � SIGNATURE" � � REGISTERED ,' 'Y/ N. . FEE CURRE� Y/N -
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<br /> Add�ess=" ` + � � ` Licsnse.#
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<br /> �" OTHER��' �;<'"° � ' � COM PAfdY _ -
<br /> �=SIGNATU�E=`J_;: .•< - REGISTERED Y/.N. FEE CURREK Y/N
<br /> - p,e�_�^�s�}� .,- �. ..... _ .. . ' - �
<br /> Addre'ss�r:,� : ; ., - � - ' - License#
<br /> '".'RESIDEPITI 2.;:PI ` �? , _ . , ..,.... . , �x:t=.,:-;"...� ,.• ;_, �.._ ;_ _. , :� • , •
<br /> _ _� AL;°;��;'�Attacfi�(: ) o.t°;P.lans;•'(2):sefs=of=Bu�ilding-Plans;(1�)sset of�Ene�gy.Forms;R=O=VU Permit:for new.construction;. ,
<br /> :��. ,: �,;�j:<•;:t,�zry�p:.;Minimum;;:teno(,10);working�days;afte��sulimittal.�date.�Requ'ireiJ�onsi4e;Gonstruction�Pians;Stormwater'Plan's w/Silt Fence installed,
<br /> ;�:�,-. �� Sanitary.�FaaliUes,&1�dumpgte�;;Site,Wor,ic,Rermitforsubdivisions/large`p�ojects�:.� •::_ �� - fi �- - _-
<br /> ,,;`COMMERCIAL Attach(2)complete sets of'Builcling.Plans'plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permif for new consUvction.
<br /> - - - -- flAinimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Eence installed,
<br /> ;���- Sanitary Facili8es&1 dumpster.Site Work,Permit.fo��all;new projects.All commercial requirements must meet compliance
<br /> ��``:,SIGNrPERMIT' "AttacFi'2�sets;o.f,Eng;neered Plans:ti •� -� - =
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<br /> �R;��� *"**PROPERTY SURVEY,required for aII.NEW construction.
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<br /> ';Directions:� E� ,;r.,-.;� . . ,.-
<br /> - ` -�Fill out;application completely. ,
<br /> Owner`:8�Contraotor sigrt 6ack of application,notarized
<br /> � if over,$2500,a Notice of Commencement is required. (AIC upgrades over$7500) _ ,_
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<br /> . AgenY(fortFie�aont�actor)�or�Powerof;Attomey(for'tlie owner)would tie someone with notarized letter from�ownec authorizing"same �_ •
<br /> �:;:OVER:THE COUNTER;,PERMI7'TING;� ..: ,-;(copy:ofcontract;required) ' "' , ' .
<br /> ;'-'Re�oofs.if-shing'les Sewers �ServiceUpgrades;A/C��: =Fences(PIot/Suroey/Footage) � ; • � ,
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<br /> _ Driveways-Not over Counter if on public Foacliruays.,needs�ROW
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