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813 - 780-0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 f '
<br /> Building Department
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<br /> Date Received Phone Contact for Permitting MI —
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<br /> Owner's Name � � �•_� _ Q , Owner Phone Number
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<br /> Owner's Address 1 69/i S/Ib. 3 ' rin.. 0e . Owner Phone Number I
<br /> Fee Simple Titleholder Name' j114 . / ` Owner Phone Number I
<br /> Fee Simple Titleholder Address 1Ifrt L /� VZ.-
<br /> JOB ADDRESS I ggn7 5 Si-. h a l.-pAr 'Yk /L 3;35,11z- I LOT # i
<br /> SUBDMSION I ! I PARCEL ID#I )/' dk2I r DDIt- ( c 71 ' -t iO
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e INS CONSTR I I AD / L 1 1 SIGN n MOVE n DEMOLISH
<br /> PROPOSED USE n SFR n COMM n OTHER 1 42 41.7��i(T! 7c711111111=11
<br /> TYPE OF CONSTRUCTION O BLOCK O FRAME O STEEL O OTHER I I
<br /> DESCRIPTION OF WORK 111 R. MOW eat/Olen Sh i', le. roof 41- feriae: Lain, ti Stunt+, titbit
<br /> BUILDING SIZE I I SO FOOTAGE F a Mae 5 • HEIGHT I J
<br /> El BUILDING $A ayt I VALUATION OF TOTAL CONSTRUCTION
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<br /> n ELECTRICAL $ I AMP SERVICE n PROGRESS ENERGY n W R.E.C.
<br /> PLUMBING I $ I
<br /> O] MECHANICAL $ I VALUATION OF MECHANICAL INSTALLATION
<br /> O GAS ROOFING O SPECIALTY O OTHER
<br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA OYES ONO
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<br /> BUILDER COMPANY I
<br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N
<br /> Address I 1 License I
<br /> ELECTRICIAN COMPANY I
<br /> SIGNATURE RFr:LSTERED I Y/ N I FEE CURRENT I YIN I
<br /> Address I 1 License # I
<br /> PLUMBER COMPANY I
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I
<br /> Address I 1 License# I
<br /> MECHANICAL COMPANY
<br /> I
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I
<br /> Address I I License # I
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<br /> H ER ` . t CO MPANY II ' L ' . A es c M •
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<br /> SIGNATURE //�� Vim. p r REGISTERED ® FEE CURREM MUM
<br /> Address I i IL 1 f � W . V t i `G7 1 Ta r 1 License # I\ /�c`'los3a59 I
<br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fomrs; R -O -W Permit for new construction,
<br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stornewrater Plans w/ Silt Fence installed,
<br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsdlarge projects
<br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction.
<br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Storrttwater Plans w/ Silt Fence installed,
<br /> Sanitary Facilities 8,1 dumpster. Site Work Permit for at new projects. 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 /> Directions:
<br /> Fill out application completely.
<br /> Owner & Contractor sign back of application, notarized
<br /> If over $2500, a Notice of Commencement is required. (ANC 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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