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<br /> 8�3-780-0020 City of Zephyrhills Pernit Application Fax-813-780-0021
<br /> ' Buildmg Depart�nen;
<br /> - • Date Recerved �
<br /> Phone ContactforPermitting �
<br /> �
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<br /> Owner's Name ). � Owner Phone Number
<br /> �
<br /> Owner's Address i � Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple 7itleholderAddress
<br /> JOB ADDRESS � LOT # �
<br /> SUBDIVISION PARCEL ID# � �
<br /> (OBTAINED FROM PROPER7Y TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR ADDlALT � SIGN � MOVE � DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE � SFR � COMM � OTHER
<br /> TYPE OFCONSTRUCTION � BLOCK � FRAME � STEEL � OTHER
<br /> DESCRIPTION OF WORK � ' O/ �1 yC
<br /> BUIIDING SIZE SQ FOOTAGE HEIGHT
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<br /> �� BUILDING `TM $' � � VALUATION OF TOTAL CONSTRUCTION
<br /> �
<br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R E C.
<br /> � PIUMBING $ I � (�
<br /> � � `�'
<br /> � MECHANICA� $ VALUATION OF MECHANICAL INSTALLATION �
<br /> � GAS � ROOFING � SPECIALTY � OTHER
<br /> FINISHEDFLOORELEVAT FLOODZONEAREA �YES �NO
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<br /> BUILDER COMPANY / (7 � Q/V]Q �Y✓/CQ
<br /> SIGNATURE -REGIS7ERED Y/ N FEE CURRENT Y/ N
<br /> Address (i 33 License#
<br /> O
<br /> ELECTRiCIAN COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
<br /> Address License #
<br /> PLUMBER COMPANY �—
<br /> SIGNATURE � REGISTERED Y/ N FEE CURRENT Y/ N
<br /> Adtl ress License #
<br /> MECHANICAL COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEECURRENT Y!N
<br /> Address License# �—_�
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEECURRENT Y/N
<br /> Address L�cense# �--�
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<br /> RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Plans; (1) set of Energy Forms
<br /> Minimum ten (10) working days after submittal date. Reqwred onsite, Construdion Plans, Sanitary Facilities & 1 dumpster
<br /> COMMERCIAL Attach (3) sets of Building Plans; ('I) set of Energy Forms.
<br /> Mmimum ten ('10) working days after submittal date Reqwred onsite, Construdion Plans, Samtary Facilities 8 1 dumpster
<br /> All commeroial reqwrements must meet compliance.
<br /> SIGN PERMIT Attach (2) sets ot Engineered Plans.
<br /> ""PROPERTY SURVEY required for ali NEW construdion.
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<br /> Di rectio n s:
<br /> RII out apphcation completely
<br /> Owner 8 Contrector sign back of application, notarized
<br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 55000)
<br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone wnth notarized letter from owner author¢ing same
<br /> OVER THE COUNTER PERMITTING (Front of Application Only)
<br /> Rewofs Sewers Service Upgrades NC Fences (PIOUSurvey/Footage)
<br /> Dnveways-Not over Counter rf on public roadways needs ROW
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