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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 Permittin � '- � -- �
<br /> Owner's Name �/C�� ���� 'Owner Phone Number
<br /> Owner's Address . f0 S�� ,c.�i���t'/�4,� ��. Owner-Phone Number
<br /> Fee Simple Tltleholder Name Owner Phone Number '
<br /> Fee Stmple Titleholder Address °�
<br /> JOB ADDRESS S� ���1G��0D � LOT# �
<br /> SUBDIVISION JlL��/L Od�llJ PARCEL ID# ' -
<br /> (OBTAINED'FROM PROPERTYTAX NOTICE).
<br /> WORK PROPOSED '� NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH -
<br /> � INSTALL B, REPAIR .
<br /> PROPOSED USE Q SFR 'Q COMM Q OTHER
<br /> TYPE OF CONSTRUCTION � BLOCK �' Q FRAME Q STEEL Q
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<br /> DESCRIP710N OF WORK �'/�-v��' Gl��t`� /i 3D �L �/,BG/1.C�I'-}�SS S�//Y�df�
<br /> BUILDING SIZE SG FOOTAGE ,HEIGHT .
<br /> � QBUILDING $ ` ^-' •:��a� �,,.. .-d.
<br /> �,� �Q ,VALUATION aF TOTAL CONSTRUCTION
<br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C.
<br /> OFLl1MBING $ � f lJ 2 l �
<br /> ( ( lJ
<br /> QMECHANICAL $ VALI7ATION OF MECHANICAL INSTALLATION
<br /> QGAS ��ROOFING. .Q SPECIALTY•Q OTHER ��� P
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO � �j�
<br /> BUILDER COMPANY
<br /> SIGNATURE REGISTERED Y! N FEE CURREP Y/N
<br /> Address L.icense# �
<br /> ELECTRICIAN COMPANY
<br /> SIGNATURE �""' REGISTERED Y/ N FEE GURREP Y/N
<br /> Address = . �Llcense#
<br /> PLUMBER COMPANY= - - �
<br /> SIGNATURE � ,_ REGISTERED ,:Y/•N • FEE CURRE� Y/N:
<br /> Address _ _ License# �
<br /> MECHANICAL' - � COMPANY
<br /> SIGNATURE _ REGIS7ERED Y,/ N . FEE CURRE� Y/N.
<br /> Address � � License# .
<br /> OTHER � - � , , ` , COMPANY �� �//`� ; t�0�/,c��
<br /> SIGNATURE REGISTERED Y/ N.� ' �E cuw�n , Y_/N .
<br /> Address I.� ���r•:_rl�'��� �1A�0�'GIC - � ' � License# . 1�-�— 00�6�ll�
<br /> •�^. r_w,..,:::.--� '-,,.,,. ,...:.,,: :'::.. - . ,i_:. ,,
<br /> ,.,,.
<br /> RESIDENTIAL. - -�Attaoh_(2)�PIofEP:lans;;.(2)�sets:of.BuildingyPlans;-(1)set of�Energy�Foims;R-O=VU;:Perrrilt for new,construction, ,
<br /> ; „ :.. - ._,:., , .,
<br /> , .... .
<br /> :;Minlmum;,ten;(:110):working;d"ays�after�sutir,nittal'date:�.Required onsite;�ConstructlomPlans;StormwaterPlans w/Sllt Fence installed,
<br /> "� �SaniteryFacillUes;&ala;dumpsterw:Site�Wark�Permit.for.'sutidivfsionsllarge`projects�;�:�'v:1�;'�'; ' •'` � �
<br /> COMMERCIAL Attach(3)complete sets`of Building Plans pius a Life$afety Page;(1)set of Energy Forms.R-O-W Permit for new oonshuotlon. _
<br /> -� � Minimum ten(10)working days after submittal date. Required onsite,Construc8on Plans,Starmwater Plans w/Silt Fence installed,
<br /> San(tary Fadlitles&1 dumpster.Site Work Permit for all`neiiviprojeoYs:All commercial.requl�ements must meet compllance
<br /> SIGN PERMIT Attacti'(2)"set"s of'EngYneered:Plans;';;v;:."- .. -= .,,, " ' -; - • . ,
<br /> ""PROPERTY SURVEY requtred.for all NEW.construction4... .
<br /> Dlrectlons: _.,.,.,t . _ , .
<br /> Efll out applicadon completely.
<br /> Owner 8 Contractor sign back of applicatlon,.notarized
<br /> If over$2500,a Notice of Commencemant is required. (AIC upgrades over 57500) .
<br /> _ : °-..,,.
<br /> ,..;"r:;�t�k,:tT;!i+' . � .'_ .._ .. -
<br /> " /�gent(for.th'e contractor)`or Power ofAtEortiey-(fo�tFie owner)would be someone with notarized letter from owner autho�izing same
<br /> ;:_. _., _ -
<br /> OVER THE COUNTER;PERMITTING� --- {Fron6of-Application Only) � " ' � '
<br /> Reroofs if shingles Sewers Service Upgrades A/C , Fences(Plot/Survey/Footage)
<br /> Driveways-Not over Counter if on public roaduvays.:needs ROW '�
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