HomeMy WebLinkAbout21-3015City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
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R-00301- -2 1
Issue Date: 10/1212021
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
IA4PE 1 OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTI011,
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813A0-0020 City of Zephyrhills Permit Application 3 Fax-813-780-0021
Building Department 'TA/ V*
Date Received Phone Contact for Permitting
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Owner's Name vl,l)ce ,,L Calm C, Po �10 Owner Phone Number `da ®�
Owner's Address
0 Layncoif)e dr Owner Phone Number
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Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
LOT #
SUBDIVISION PARCEL ID# -OC'j�l Z�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONITR
ADDIALT
11
INSTALL
REPAIR
PROPOSED USE
SFR
Comm
TYPE OF CONSTRUCTION
BLOCK
FRAME
SIGN DEMOLISH
BUILDING SIZE F_ SO FOOTAGE HEIGHT
44444444444444444-
=BUILDING I VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL _-] AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING
12!�MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
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BUILDER COMPANY
SIGNATURE REGISTERED FEE CURREN
Address qLicense#
ELECTRICIAN COMPANY
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REGISTERED FEE CURREN L11
SIGNATURE _N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_11 N_J
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address _1W;y_ I Q0 3f rAyr-A') is F,� _3 3 5 35 License
OTHER COMPANY
SIGNATURE REGISTERED FEE CURREN
Address License #
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy. Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & I dumpster; Site Work Permit for subdivisions/large projects
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COMMERCIAL Attach (2) complete sets of Building, Plans plus, 0 Life S.�fetyj W Permit for new construction.
Minimum ten (10) workhm days after submittal ir otis tp, Gorl tructtort.l lons,Stormwator, Plahsvl, Silt Fence installed,
SIGN PERMIT Attach
Fill out application completely.
Owner & Contractor slorr 6.ck',
If over $2500, a Notice 6k..6r
Agent (for the contractoor P4
OVER THE COUNTER PERM&IN
Driveways -Not over Counter if