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813-780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021
<br /> Buildin Department /0 ! //aVS
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<br /> Date Received r l s •
<br /> . v Phone Contact for Permitting _ J f f
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<br /> Owner's Name 7?REWCE ✓v YCIC Owner Phone Number I Pt' 71'2, Zft 7 1
<br /> Owner's Address 6 &.P /4 "I* S7• Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number I
<br /> Fee Simple Titleholder Address , /
<br /> JOB ADDRESS 4��0 /(I Sit, ZEPA ttJ, A.-. 37 .2 LOT # 1 I
<br /> SUBDIVISION pmt# /,/ LI- PARCEL JD te.)d APP- 000 z -073o I
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR %ADD /ALT ( I SIGN I I MOVE 1 1 DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE 1 SFR I I COMM ( 1 OTHER I
<br /> TYPE OF CONSTRUCTION r .... BLOCK 1 I FRAME I 1 STEEL 1 I OTHER
<br /> DESCRIPTION OF WORK RG, i./z q witkroo1JS site Fog_ sae
<br /> BUILDING SIZE SO FOOTAGE HEIGHT
<br /> - .1 ..,...e.:_ n:.,. eon ._._ n..au:ssx;rz.::uoeur . n s;d _ - . ...a:.:m . u. <..v:,.,;aF'et "��aO 3 .9 °:•••'••• °••.•'•'.
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<br /> BUILDING $
<br /> 4 /0 cf:9• / VALUATION OF TOTAL CONSTRUCTION
<br /> 1 1 ELECTRICAL ($ AMP SERVICE
<br /> PROGRESS ENERGY 1 I W.R.E. C.
<br /> 1 PLUMBING $
<br /> 1 1 MECHANICAL IS I VALUATION OF MECHANICAL INSTALLATION
<br /> I I GAS 1 1 ROOFING I 1 SPECIALTY 1 I OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO
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<br /> BUILDER I I COMPANY - -'- -
<br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N
<br /> Address License #
<br /> ELECTRICIAN I COMPANY
<br /> SIGNATURE REGISTERED - I Y/ N I FEECURRENT 1 Y/ N I
<br /> Address I I License #
<br /> PLUMBER I COMPANY I
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N
<br /> Address I
<br /> 1 License # I
<br /> MECHANICAL ,,,
<br /> SIGNATURE � COMPANY
<br /> REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N
<br /> Address ) • License # I
<br /> OTHER SIGNATURE I A . w 0- D�_� COMPANY I /I"�D ,07-,44,,,,,e- „��i �/ /('�
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<br /> REGISTERED I Y/ N f FEE CURRENT 1 Y/ N I
<br /> Address I.20 e L TQ X 336 /9
<br /> License# I 4/2C
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<br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms° °°' ` " "'" " ^ ^ E'nr:a;e
<br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
<br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
<br /> All commercial requirements must meet compliance.
<br /> SIGN PERMIT Attach (2) sets of Engineered Plans_
<br /> *"'PROPERTY SURVEY required for all NEW construction.
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<br /> Fill out application completely.
<br /> Owner & Contractor sign back of application, notarized
<br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000)
<br /> Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (Front of Application Only)
<br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage)
<br /> Driveways -Not over Counter if on public roadways .needs ROW
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