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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> Building Departrnent �
<br /> ; =--�.
<br /> Date Recelved
<br /> � • �• �.Phone=Contact�for PermitHn �._ �
<br /> � , , . � - . �13 ��lz��S
<br /> Owner's Name ,� 11j� Owner Phone Number
<br /> Owner's Address � Owner Phone Number '
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> ,,�
<br /> Fee Simple Titleholdar Address �'
<br /> JOB ADDRESS �7�l �c�f �Q �� .b7 LOT# �
<br /> SUBDIVISION PARCEL ID# �
<br /> � � (OBTAINED FROM PROPERTY:TAX NOTICE)
<br /> WORK PROPOSED '�NEW CONStR " - ADD/ALT Q � SIGN�' Q "Q DEMOLISH
<br /> � B f ,.INSTALL 8, - REPAIR
<br /> PROPOSED�USE. Q SFR . Q. COMM�, Q OTHER '
<br /> TYPE OF CONSTRUCTION• : Q BLOCK ` 'Q FRi4ME Q STEEC 'Q
<br /> DESCRIPTION OF WORK (��--� �/' � �- �
<br /> BUILDING SIZE �- ' 8Q FOOTAGE�. HEIGHT., .
<br /> QBUILDING $ '�fj*la:- 5::^e. r .
<br /> � _ VALUATION,OF`-'TOTAL GONSTRUCTION
<br /> �ELECTRI6AL , � �„.a AMP SERVICE "� PROGRESS ENERGY Q W.R.E.C.
<br /> �PLUMBING , $ - �
<br /> , t � �
<br /> QMECHANICAL $ VALUATION OF IIAECHANICAL INSTALLATION �
<br /> l
<br /> Q GAS , Q ROOFING �Q SPECIALTY-Q. OTHER; �
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO q �j C/ ✓ �
<br /> . , i� I -
<br /> BUILDER COMPANY '
<br /> SIGNATURE REGISTERED Y/ N FEE CURR6t� ' .Y/N�
<br /> Address License#=
<br /> ELECTRICIAN. � . COMPANY: : /" ��f/�'� '�'�-IE�/�'!C-
<br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address .D� �3 �l'� C� ',�1.� � 'LCo ., , ��cense_#.: :��..�7d O/���
<br /> PLUMBER , , �COMPANY•,� : . �
<br /> SIGNATURE ' " � .riEciS.�RE� ,Y/ N _ FEe cuw�en- Y/N. _
<br /> Address � Ucense#
<br /> MECHANICAL ' _ - . COMPANY � .�
<br /> "'-SIGNATURE s REGISTERED. Y./_.N. .` FEE cutt�n Y/N ., . "
<br /> Address�` ' � � � � � License#
<br /> OTHER ' ' ' COMPANY '
<br /> SIGNATURE� ` - � " REGISTERED � ' Y/ N:,,,_ FEE CURRE� Y/N� �
<br /> Address - I - �� � ' License#
<br /> �RESIDENTIAL.;.'°Attach(2);PIot;P..lans;..(2)sefs�of�Building^Plans;(1)'set'of Energy�Fortri§;''R=0-W`Permit fornew�construcyon,, � f " �
<br /> -,•Minimum:tem(10)mworkiqg'days�afte"r':subrtilttal:date:,R'equlred onslte;rGon§triic8on°Plans;Stormwater'Plans w/SilfFence installed,
<br /> � � $aNtary�Fapilitles�&�:1:Sdumpster Site;;Work;Permit for:subdivisions/lerge:pro]eots - :.,.-;. '"' ' "
<br /> COMMERCIAL Attach(3);complete sets'of Buildirig Plans plus'a�Ufe'3afety�Page;(1)set of Energy Forms.R-O-W Permit for new consUuction.
<br /> Minimum ten(10)warktng days after submltYal,date. Required onsfte,ConstrucUon Plans,Stortnwater Plans w/Siit Fence installed,
<br /> Sanitary Facllides&7 dumpster.Site Work Permit for ali new;projects:.All commercial requirements must meet compliance �
<br /> SIGN PERMIT AttacFi"(2jsets"of`Engi�eered�,Plans:;,�.��.•�:�":� _:.`;°- , ,. , ' -
<br /> '•"PROPERTY^SURVEY reyuired for,all_NEW_construcdon._ .- . -
<br /> Directions: .. ' - -, ._ '
<br /> Fill out appticaUon completely.
<br /> Owner S Contractoc slgn badc of appBcatlon,notaiized
<br /> If over 52500.a_Notice.of Commencement is requlred. .(AIC upgrades.over 57500) .
<br /> �. .°.:;,:�;;�3u�s.,.<.,,
<br /> Aqent(for the�contraotor)�or Power of'Attomey�(for the`owne�)ilvould be`someone with nota�ized letter from owner suthorizing same
<br /> OVER THE COUNTER�.PERMIT7ING •-•��-;(Front of Applicatlon Only)�
<br /> Reroofs If shingles Sewers- Service Upgrades A/C Fences(PlodSurvey/Footage)
<br /> Drivewaya-Not over Counter if on publfc roadways.:need's ROW � `
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