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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021
<br /> BuildingDepartment ��i�) 35� ` �� l
<br /> Date Received �- J'� Z phone Contactfor Permitting _-*� „� ,�„�, y
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<br /> Owner's Name Owner Phone Number �
<br /> owners nddress Owner Phone Number �
<br /> Fee Simple Titleholder Name Owner Phone Number��
<br /> Fee Simple Titlehoider Address �
<br /> JOB ADDRESS W LOT It �
<br /> SUBDIVISION PARCELID# �p'�•O�t^W�i]�Vw�rV-VI_.�J
<br /> (OBTAINED FROM PROPER TY TA%NOTICE)
<br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN � MOVE � DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE � SFR � COMM � OTHER —�
<br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � OTHER C—�
<br /> DESCRIPTION OF WORK T,N�lL I� �„����JL1 �� '� l�� �
<br /> BUILDING SIZE S�FOOTAGE HEIGHT
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<br /> � BUILDING $�p�(]�� �, VALUATION OF TOTAL CONSTRUCTION
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<br /> � ELECTRICAL $ AMPSERVICE � PROGRESSENERGY O W.R.EC.
<br /> � PLUMBING S ��
<br /> .�I 3��
<br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> � GAS � ROOFING 0 SPEGIALTY Q OTHER
<br /> FINISHEDFLOORELEVATIONS ��I FLOODZONEAREA �YES QNO
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<br /> BUILDER (> COMPANY � �
<br /> SIGNATURE J ( REGI5iERED 'Y'/ N' ' - fEiw RENT ' Y I N
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<br /> Address License#
<br /> ELECTRICIAN COMPANY �
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address L�cense# ��
<br /> PIUMBER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y I N
<br /> Address License# ��
<br /> MECHANICAL COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
<br /> Adtlress License# ��
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEECURRENT Y!N
<br /> Address L�cense# ��
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<br /> RESIDENTIAL 'LY�Attach(2)Pbt Plans,(2)sets of Bwiding Plans;(1)set of Energy Forms
<br /> Minimum ten(10)workmg days after submittal date Required onsde,Construdion Plans,Sanrtary Facilities 8 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,Construdion Plans,Sanitary Facilities&1 dumpster
<br /> All commercial reqwrements must meet compliance
<br /> SIGN PERMIT Attach(2)sets of Engineered Plans.
<br /> •"'PROPERTY SURVEY required for all NEW construdion.
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<br /> ��If2Cil0lIS:
<br /> Fill out apphcation completely
<br /> Owner&Contrec[or sign back of appliqt�on,noWrized
<br /> If over 52500,a Notice of Commencement is requiretl. (A/C upgrades over 55000)
<br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notar¢ed letter trom owner authormng same
<br /> OVER THE COUNTER PERMITTING (Front of Application Only)
<br /> Reroofs Sewers Service Upgredes A/C Fences(PIoVSurvey/Footage)
<br /> Driveways-Not over Counter rf on public roadways.needs ROW
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