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813-780-0020 City of Zephyrhills Permit Application Fax-813asaoax� ;
<br /> _. • ` Bufiding department '
<br /> Date Recelved �j "Z' Phone-Ca»tact far Permttten Z, �{} — C�. l �
<br /> Owner's Name Z Owner Phone Number U �-�` 7�{r� ���
<br /> �
<br /> Owner's Addrass �� I Own�r Phone Number
<br /> �zc N���l .. � �
<br /> Fee.Slmple Tltleholder ame Owner Phane Number
<br /> Fee Simple Titleholder Addre�s
<br /> JOB A�DRE$S �} �-( JU i'�l�l^�,l l �Y I �f �� LOT# �
<br /> StIBDIVISION �� �� PARCEL ID# � 2 f � � -��' �� �U ^ � "' L
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORiC PROP03ED NEW CONSTR ADDlALT � SIGht Q Q DEMOLISH
<br /> ' INSTALL 8 REPAIR
<br /> Pl20POSED.USE Q SFR Q GOMM �� OTHER
<br /> TYPE OF CONSTRUC710N � BLOCK " Q FRAME � STEEL [�
<br /> DESCRIPTION OF WORK �j�-�- � A� � �;
<br /> BUILDITtG SIZE �`� '�1 .�� �_SQ FOOTAGE �S{� S HEiGHT �
<br /> ` "�������' � �� �� � VALUA710N+OF TOTAL CONSTRtJCT�ON _
<br /> QELECTRICRC ��� AMP SER1lICE Q PRQGF2ESS ERtERGY [� W.R.E.C.
<br /> QPLUMBlNG $ "" �� � A�Jl�-t� t/
<br /> � ��..� �
<br /> QMECHANICRI �� VALUATION OF NIECHANICA�INSTALLATIQN �Ne�t..��
<br /> QGAS O RQOFINf� O 3PECIAk.TY � OTHE12 v ��,r�,r'�"�� F� ��
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZQNE AREA QYES NO �
<br /> �� 1..III , _�.,/.„ „ ,,, '
<br /> BUILDEit r'�� � .f ;�S�'�- � � � co��aN}r e. � S �r �c��s I.��.�
<br /> SIGNATURE � ,.G., , r/ �, REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address '�� S, �� �� 3.j--1 �` License# �C � ��j ) r��S�
<br /> . r
<br /> EI.ECTRICIAi@ COMPANY
<br /> SIGNATURE � REGISTERED Y/ N FEE CUFtREA Y/N
<br /> Address License# � �
<br /> PCtlMBER COMPANY '
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License# � �
<br /> ( MECH�►NlCAl. COMPANY �
<br /> ' SiG1�DATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addrass License# � �
<br /> OTFiEFt COMFANY
<br /> SIGNAT�RE REGISTERED Y/ N ; FEE CURRE� Y/N
<br /> ' Address license# r� �
<br /> RESiDENTiAL �Attach(2)P2ofiRlans;:(2}sets af 8ullcling Plans;{9}se#of EaergyaForms;R-Q-W Permit far new construation, �
<br /> Minimum ten(tU)�working days after_subrri�ttal date. Required onsite,Consfr'uction Plans�Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Faciltties:&-1_.dumps.ter,Site Worlc�Pertnit for sulidivisio�sAarge proJects
<br /> CQMMERCIAl. Attach{S)complete'sets of Bult�ingv Plans plus a I.ife Safe#y Page;{1)set of Energy Forms.R-Q W Permit for new cans#ruc�tion.
<br /> Minimum ten(10)working days after submittal date. Required onsite,CansUuction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilitles&1 dumpster.Site Wor1c Permit for all new proJects:All commercial requirements must meet compliance
<br /> SIGN PERMIT AttacFi�2)'s`ets of Eitigirieeted.P.lans.�,_ ; . ',
<br /> "•"PROPERTY SURVEY required for all NEW canstruct(an. �
<br /> Dlractlo»s:
<br /> Ffli out applicadon completely. �
<br /> Owner 8�Contractor slgn bacic of application,notarized '
<br /> If over�2500,a Notice of Commarecement ts required. {A/C upgrades over E7500) - �
<br /> '" Agent(for tFie contractor)or Power of Attomey(fo�the owner)would be someone with notarized letter from owner autharizing same
<br /> � OVER THE COUtdTE12 RERtJ11TilNG . (Fron�.a#;Applicatian Only}'';- •
<br /> Reroofs if shingles Sewer.s �Ser'ice Upgrades".A/C'�� ;•:Fenoes(I?lof/Survey/Footage) �-w �- �.�� .- �.K��r--._°°��.-� �
<br /> „ _ ,- ::r._ • , '.ta_�...���, _ .
<br /> Driveways-Nat aver Caunter if on pubilc�roadways::needs'RE31N.<':: , t; - ":�; ,-' . `�'}tt%; �,;y .
<br /> �,� � ' " ' , ;;,, , ,::�„ � ;i�. . : - ;
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