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. 813- 80-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> - � Building Department
<br /> Date Receive , Phone Contact for Permitting " — •
<br /> Owner's Nam �i l l ��1 Owner Phone Number . �3— I��—J O �7 7
<br /> Owner's.Addr ss � � E��` J� . ���r` r����� Owner Phone Number �
<br /> Fee Slmple Tidleholder Mame . Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRES�S �8 s� r3�- s� � h' Y` "l��-r �L LOT# �
<br /> SUBDINISIO PARCEL ID# �
<br /> - (OBTAINED FROM PROPERTY TAX P10TICE)
<br /> WORK PROPOSED �IEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
<br /> B � y INSl'ALI. e REPAIR
<br /> PROP.OSED SE:_ Q SFR Q COMM � OTHER
<br /> � TYPE OF CO STRUCTION Q BLOCK - Q FRAME 0 STEEL Q
<br /> DESCRIPTIO OF WORK ~ � L �i � "u��r � �n�
<br /> �UIL`DING'SI E SQ FOOTAGE�' HEIGHT ,
<br /> QBU LDING $ VALUATION�OF'TOTAC CONSTRUCTION �
<br /> QELECTRICAL , $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C.
<br /> �L'MBING $ -
<br /> � 5 7 � 7 � ���8�3
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLi4TION �
<br /> QGf�S Q ROOFING Q SPECIALTY Q OTHER �p� Z Z
<br /> FINISHED.F IOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> BUILDER COfVIPAIVY
<br /> SIGNATURE REGISTERED Y/`N FEE CURRE� Y/N
<br /> Addres License# �
<br /> ELECTRICI, COMPANY
<br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addres � Cicense.# �
<br /> _ PLUMBER:: � COMPANY ����'�n ��n�11V► �'L v mb�n
<br /> SIGN/�TURE •REGISTERED- �Y•/ N �FEE CURRE� Y/N
<br /> Addres License#-� -
<br /> ,_MECHANIC COMPANY
<br /> .',SIGNATURE - REGISTERED -, Y/,N FEE CURRE� Y/N
<br /> ' Addres �' � • � � ' � License,# �
<br /> ..!;'st:: ..
<br /> -OTHER=� ��{- � COMPANY
<br /> :xSIGNATURE�; � ' REGISTERED ' Y/ N FEE CURRE� Y/N
<br /> r.rr'. - , . . - . .
<br /> Addres � - - � _ . - " License#
<br /> ,:�::.,, .
<br /> .,�`'RESIDENTIAL ;, AttacFir(2j;Plof Plans$,(2):sets-of Building Plans;(1')set of�Energy;For'ms;R-O-W Permit foi new.construction,
<br /> ,:• :.a.5.:.,::�•�.-�Minimum'ten�(.10)working�.daysafte�;"su6inittal cl'ate. Requireii'onsite;'Construction Plans,Stormwater Plans w/Sfit Fence_installed,
<br /> ..: �",_._.... ,
<br /> � � ��" ��� Sanita.ry.;Facilities.&?1t,;dwmpster•,;Sife;Woek Permit for:subdivisions/large projects • � " � -
<br /> COMAlIERCI Attach'�(2)�complete"'set§`of'Builcling�Plans plus a�Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constniction.
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,.
<br /> =. Sanitary FaciliUes&1 dumpster.Site Work Permit fdP,all new projects.Ali commercial requirements must meet compliance
<br /> ___...._. ... .
<br /> v�SIGN°PERMI Attach(2)�sets _o.f;EngineerGd P,lans� •-
<br /> ""*PROPERTY SURVEY required for_all.NEW.construction. .
<br /> '-Dire'c,tions: I ;�r�:.,sr`°: ��_. , _ _
<br /> Fill�out application completely.
<br /> qwner�j ConUactor sign back of.application,notarized
<br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
<br /> " Agent(f'r the�cont�actor)or Power�of Attomey(for tfie owner)would be someone with notarized letter from owner authorizing same
<br /> �..'_OVER:7'HE OUNTER_PERMI]'TING__ _(copy_of contract-required)
<br /> 'Reroofs ff shi�gles Sewers�✓'..�•".Servic"e Upgrades�Yk/C��',; �Fen�es(Plot/Survey/Footage)
<br /> ,__.,_. :._�.... ' . � � ,,� s
<br /> Drivew ys-Not over Counter if on public�roadways.:needs.'ROW ;
<br /> • .. - .., =r .. .,., �, �
<br /> x .,. .x� ,�,..._...�.�.,.�...,.. ,,.M.,.��.. .,..,..e
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