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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> � Building Department
<br /> Date Recelved. ° Pho �Conta for�Pet�mittln "'� • - — '
<br /> Owner'a Name � �► �l � Ownee Phone Number
<br /> Owner's Addre�s ""' � ' Owner Phone Number� ' �
<br /> Fee Simple Tltleholder Name ° • Owner Phone Namber
<br /> Fee Slmple Tltleholder.Addresa •
<br /> JOB ADDRESS LOT# �
<br /> SUBDIVISION PARCEL• ID# ` ` � •
<br /> � ' . , (OB�'AINED,FROM P.ROPERTYTAX NOTICE)� � �
<br /> WORK PROPOSED ' NEW CONSTR ADD/ALT �]�' SIGN Q �Q DEMOLISH
<br /> � , INSTALL � REPAIR� , ` . `
<br /> PROPOSED..USE 'Q 'SFR. Q COMM '� ' Q - OTHER � ' -
<br /> TYPE OF CON$TRU�TION � ;Q +� "'BLO'CK' " Q FRAME . , Q_ STEEC �Q � _
<br /> DESCRIPTION OF WORK� ' �—
<br /> is" .
<br /> BUILDING SIZE' - � ' SQ FOOTAGE,� , „HEIGHT .:. . -
<br /> QBUILDING $ — ,_ .. . _-� ,�......,...� •-� ,,..,,�.i . -
<br /> �S .d� VALUATION=OF:TOTAL COyS'•1'F�UCTION
<br /> QELECTRICAL $ � � AMP SERVICE =0 " PROGRESS"ENERGY Q W.R.E.C.
<br /> . < - �G ,
<br /> OPLUMBING � $ ''' • Q �
<br /> QMECHANICAL $ VALOATION.OF;MECHANICAL INSTALLATION.
<br /> QGAS , ROOFING :Q SPECIAL'T+1f:Q ;. .OTHER• ,, ,
<br /> FINISHED FLOOR ELEVATIO FLOOD zONE AREA QYES ,NO
<br /> BUILDER COMPANY� -;' ° � . - " - . - - .. .
<br /> SIGNATURE REGISTERED Y/ N �`FEE CURREK' ' ' Y/N`
<br /> Addres� � - = -, <r =r �License#F :� � t
<br /> ELECTRICIAN;. • , • ,�.COMPANY�: - . °. - ' ,
<br /> SIGNATURE ' � REGISTERED Y/ N FEE:CURrtEK-' �'. '���Y./N•• '
<br /> Address � y _ . • � � , .. `Ucense;#r�< <-.; � .-
<br /> � , , _ - . . - • r. .
<br /> PLUMBER" C.OMP,.,ANY.;- _ - �
<br /> SIGNATURE" ' REGISTERED, Y./..N,,;. --_,FEECURRE�, =, Y�/.N:�
<br /> Addreas • � , � ' _�i.Ucense#, , �. , � .. , , .
<br /> . „ •�,--�: .
<br /> MECIIANICAI: . ., - _ , .COMPANY � ` � .
<br /> �-...
<br /> SIGNATURE• `' ` ' � ' , REGISTERED Y./ N. �_FEE CURRE�:. Y kN . ,
<br /> � Addrea��'' r :� .� . , , . , - - � U se#�
<br /> OTHER •. - � -. ' `��OMP,ANY, ..
<br /> SIGN�►TURE � - � 'REGISTERED / , FEE. Y/N.
<br /> Addr68E `•�.� . - � ' LlcenS9#� •� _�`. . . � �
<br /> RESIDENTIAL".':�._-AttacFi'(2�).',Plo.t�P.;lans;(2)'sets�ofiB�iilding:Flan's;�(1)'sefof=Eneigy�Foirns;'�R=O=W�Perrr%Itfor'nevirconstruc4ton;. -, '
<br /> ':•.f< Minimumrten�(1�0?�wiqrf4ing;dajrs,after„submlEtal'dat'e.'.�.Required'onslte,:Coristiuctlon:'Rlans;'Stomiwater�Plans•w/$IIt Fenc:e installed,
<br /> °;a..�•„•_.-.� „•- �,,.,,•... �. . _ , .
<br /> Sanitary Fadlftles`:8z.1�.dump,sterASlte�Woik:Perrnit fio�.subdivisions/large•;pro)ects,j;_:_.�;,::�. _ _ • �
<br /> COMINERCIAL Attach(3)�eomplete'sets'of Buildfng`Plan's plus a LIfe�Sefe{y Page;(1)set of E�ergy Forms.R O-VU Permit for new construcdon. °
<br /> Minimum ten(10)working days'after sutimlttal date. Required onstte,Constructlon Plans,Stortnwater Plans w/Silt Fence installed,
<br /> Sanitary Fadlitlas,8.1.dumpster.wSite Work�Permit for all new proJecfslAll commercfal,requirements must meet compllance � •
<br /> SIGN PERMIT Attacti"(2)sets of"Eiigineer,ed:Plans:;�; ��:�:�_�= '.- . , ` , ' . � ,
<br /> '•"PROPERTYSURVEY7equired.forall;NEWconstruction..� ' �-
<br /> - � �:
<br /> Dlrectlons: ,... � . � , , ` � '
<br /> FIII out applicatlon completely. ,. � � , " '
<br /> Owner 8 Contractor sigm back of applfcaUon,notadied 1 , � t , • ;
<br /> If over s2500,.a,Notice:of.Commencement is requlred. (Al�,4Pgrades over 57500) ' _ , �,v , ; ','�'.��
<br /> "��.�.;�r:r,.,; ,:•..._ �. _ .._ _._. _ _ ... ., ,:�. . .� .._,. . -s _. , :._ ,
<br /> '" Agent(for the�contractor)or'Povuer of Attomey�(fo�the owner)'wouli!tie someone with nota�ized letter from owner authorizing same
<br /> :. . ,- , , .. .,. . ,, .., , ;:}:.
<br /> DVER�THECOUNTER:PERMITIING�• '-,-=(Front`of;ApP,�lcatlon�Only);.�.:—�.,r , �'.��' �, � _ --_�• `"-'"�- ; ,
<br /> Reroofs If shingles Sewers c`Seniice�Upgrades;A/C;'�!, Fences:(Plot/Survey/Footage) _ • ' � '��_ , - , ,
<br /> �a •�..,f•.�_,; _ . ,� ,-i a,�,r' i�1 ,
<br /> — �-- �-� ,l - ..;1 i y�;i-�::1n�.;3i);;;i:`'��"���' ;�;'n[..*d>::,., � -, _ , .. , , ...
<br /> Driv�ways-Not over Counter if on public�roadway,s+,;need§ROV!%;r�`- � - ;� � ;" , � , �`•' - �
<br /> y} �.-.� ... i.:�tµ�:l'..�I' •L.i �i.�� ere � _.. ; _ ... .'1' . _ -f.'_:. . _.v -
<br /> a la.. :..,r>M- �.ro.-.»xn'H x_.ta�.-.a�:�o .
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