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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> ' Bufiding Department
<br /> Date Received^
<br /> Phone Contact for Permitting -
<br /> Oarner's Plame �L�[-1�, '� C N��� ��(, Owner Phone Number `�/ � G ! �'t�/ '
<br /> Ouuner's Address ���" / � � Owner Phone Mumber
<br /> Fee Simple Titleholder Mame Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JO�ADDRESS O � � �� LOT# �
<br /> SUBDIVISIOId ���JiC�� �1� PARCEL ID# �7 J°Z�O `a� --�'j a --a� Q5-D�a I
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e NSTALLS7R e REPAIR u SIGN Q Q DEMOLISH
<br /> PROPOSED USE Q SFR Q COMM � OTHER
<br /> 'TXPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
<br />' DESCRIPTION OF WORK '��LA �� (��� E(� I�6"l,J v`-'
<br />'I BUILDING SIZE SQ FOOTAGE� HEIGHT
<br />' QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
<br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> �PLUMBING $ � �' D�
<br /> OMECHAfVICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> QGAS Q ROOFING Q SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br />— --SfDBL��Fd--- -- - — - — --COlME'AldY- -- -- ---- - - — --
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License#
<br /> ELECTRICIAM COMPANY
<br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N �
<br /> �Address � License#
<br /> PLUMBER � COMPAMY W CS� u tS L.G(r v/�j/�U �
<br /> SIGIdATURE ���-¢' REGISTERED Y N FEE CURRE� Y/N r n Q'
<br /> vi �
<br /> Address � �X.�t�7t�7 � ���� �L 3 !� License# �C_�� �� � rn
<br /> '�
<br /> I�IECHANICAL COMPANY n �
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �(�l �
<br /> �
<br /> Address License# � �
<br /> OTHER COMPANY �
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N d
<br /> _ - -- li
<br /> Address License#
<br /> RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,Stormwater Plans w/Silt Fence instalied,
<br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsflarge projects
<br /> COIIlIMERCIAL 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,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
<br /> SIGN PERMIT Attach(2)sets of Engfneered Plans.
<br /> •'"'PROPERTY SURVEY required for all NEW construction.
<br /> Dlrections:
<br /> Fill out application completely.
<br /> Owner&Contractor sign back of application,notarized
<br /> If over a2500,a Notice of Commencement is requ(red. (AIC upgrades over�7500) ,
<br /> •" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (Front of Application Only)
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> , _�-.,,._�.:-.., .;.:j t.. ,-._,:,.. . ..,.�..,.--.,..... ��-.�:,...�.M,,z.:. .
<br /> ,� ' - ,.
<br /> Driveways-Not over Counter if'on public roadways..needs RO.W, , •ri ��.,•. --� '-'� ', ;, -;
<br /> ' ' � . , :l , r'��: + ., . � , � -'}
<br /> ,'� �. ��- � � .,� ,� ..� � ,�r r, .,',., . ....,1-,. }.,...�'.r,..e . � ..,-•..�.<-,1.. {
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