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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> • Building Department :;;-
<br /> Date Received '��
<br />� Phone Contact for Permitting ~ -
<br /> OwneP's Mame �� l�. ��-����-ti Owner Phone idumber ��� - ��6 -��'`��
<br /> Owner's Address �.�� �T�ph`��v�'n"'-e Ouvner Phone Number
<br /> Fee Simple;Titleholder Name � ' Owner Phone Number
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<br /> Fee Simple�Titleholder Address
<br /> JOB ADDRESS 8-� � ��P�"`' �U�'---��-�- LOT# �
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<br /> SUBDIVISION - �9'i,� p` • °`�9 � PARCEL ID# ��`����2'�� ���'+� �d����S� �
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<br /> 4`� � (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q � Q DEMOLISH
<br /> ; INSTALL REPAIR
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<br /> PROPOSED USE Q SFR Q COMM 0 OTHER
<br /> TYPE'OF CONSTRUCTION d BLOCK • Q FRAME � STEEL Q
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<br /> DESCRIPTI�ON"OF WORK `'� C��
<br />\ BUILDING SIZE (� (�� :�� SQ FOOTAGE . 2-Z S� HEIGHT � �
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<br /> QBUILDING , $ /'_ �+�� VALUATION'OF TOTAL CONSTRUCTION �
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<br /> QEL•ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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<br /> QP'LUMBING __ $ � �/�n
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<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALWTION
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<br /> QGAS � O ING SPECIALTY 0 Ol'HER
<br />' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I
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<br /> ,BUILDEFt 4 ,` a ����_ COMPARIY �����- ��`n�--� �
<br /> SIGNATUR� C��r ��•-• �� REGISTERED Y/ N FEE CURRE�. Y/N
<br /> Address License#
<br /> ;�'ELEC7'I21CI� ; COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
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<br /> - Address License#
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<br /> PC�IMBER�j COIIf1PANY
<br /> SIGWATURE REGISTERED Y.�/'N; FEE CURRE� Y/N �
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<br /> Address. - License#- � '
<br /> "'.MECH{1tdICAL' � COflNPANY -
<br /> `�" SIGNATURE'' � REGISTERED , Y/ N _ .FEE cuw�en . . Y�/-N -
<br /> Add'ress�-'° ` � � " ' Licens,e.# I
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<br /> - OTHER�' " " COflAPA1dY
<br /> ��SIGNATURE-��: •�._ . - REGISTERED Y/.N. FEE CURREK Y/N -
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<br /> Address,�.. - - License#
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<br /> `":RESID.EN71Al.",� .Attach;,(2);,Plot'.P.lans;;(2)ysefs�of=6uilding�Plans;(1•)`sefof�Energy:Forms;R=O=W.Pertnit,for new.consVuction,.'f ,.
<br /> ,. -;,;�•;;a,,.,,,-;,;Minimum;�ten,(;1.0)_.working'iJays afte��sutimittaladate..`Reqiii�ed�onsite;GoristrucUon Plans;Stor,`mwater Plan"s w/Silt F.ence installed,
<br /> :;_.,; �� �. � Saqitary,Fac�llt�es„&1=�dumpste�;;Site.Wor,k Permit for.subdi"visions/large:p�ojects� � ` : _ °� - ' = -
<br /> �::.:,COMMERCIAL Attach(2)acomplete'sets of'BuilBing Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuction. �
<br /> : - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> =="`� Sanitary Facilities&1 dumpster.Site Work Permiffo��all•new�piojects.All commercial requirements must meet compliance
<br /> :�='�$IGN�PERMIT �Attach(2)'sets:qf;Engineered�Plans:�� ' _
<br /> �;:,, *""PROPERTY SURVEY required fo[.aII.NEW construction.. ,
<br /> '�f�•Dl�ecticns: .•Si:_ .
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<br /> ' �-��Filf�out.application completely. �
<br /> "" OwnetB�Contraotor sign back of application,notarized,
<br /> '� If.over$2500,a.ldotice.of•Commencement i�required. (A!C upgrades over$7500) ,
<br /> ''�+., .�.:T ., ,.
<br /> - Agent(for the°cont�actor)or'PowerofAttomey(for'tFie owner)woulcl6e someone with notarized letter from,owner authorizing same
<br /> ':=,OVER°THE COUN7'ER-�PE_RMIT•.CING. ;...,,�.(copy.of contraet<required) ` ' � " � - ' • - • - ,
<br /> ;-°Re�oofs.if sFiingles � �Sewers Service Upgrades�A/C Fences(Plot/Survey/Footage) .,
<br /> - ' ..�. ...�. _..,.,. ...r . ..__. �. : , _ . ' . • , ; .
<br /> - Drivev+rays-Not over Counter if on public roadway§..needs ROW . - .--., _. _ . '
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