813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Departmen# , y j
<br /> ����'�"r ZI�J�:1/"'�t�G/!`!']C7l�D/`�� G't3�/�"�
<br /> Da#e Received Phone Cantact for Permitting --
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<br /> Owner's Name �. y�i GS es �.-, � Owner Phone Number ��CZ�. �- ��+ D
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<br /> Owner's A dress �Owner Phone Number �� �
<br /> Fee Simple Titieholder Name ���~rr. '�,, � � Owner Phone Nuinber �— �
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<br /> Fee Stmple Titleholder Address ����
<br /> J08 ADDRESS ��'/'✓'�� C�-+�"'8"'� t'�'i�•� `' � LOT# �� �/
<br /> SUBDtV1Sl I N J�1 � ta�/^G ,�i�� PARCEL ID# ��`Y�'F''�f 'Ci�.+`�G `� C�`� � '��'fL�
<br /> , (OSTAINED FROM PAOPERTY TAX NQTICE}
<br /> WC?RK PR�POSED �NEW CONSTR 8 ADD/ALT C� SIGN � Q DEMOLISH
<br /> INSTALL. f�EPA1R
<br /> PAOPOSEp USE �"r SFR Q CQMM � C}THER
<br /> 'TYPE OF CQNSTRUCTIQN C� BLOCK Q FFtAME � STEEL Q
<br /> DESCRIPTII N OF WORK �'1e.."tJ� J���1cT•cr'r�.1 �, r`�Sac.��r�G'e- ��"cfl b��-� --'�04`
<br /> BUi�DING S1ZE �� � SQ FQOTAGE �L�� HEIGHT ���
<br /> �B «'���� � � .��'"' �i�� VALUATION OF TOTAL CONSTRUCTION
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<br /> [�E ECTRICAI $ ��6�,� AMP SERVICE � PROGAESS ENERGY [� W.R.E.C.
<br /> �P�UMSING $ „�..
<br /> 5 �� ,�`� �i
<br /> �MEGHAWCAL $ ��� VALUATiON C}F MECHANICAL INSTAUATION
<br /> OG� 5 �� RQOF]NG SPECIALT`! OTHER
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<br /> FINISHED LOOR ELEVATIC?NS ��� �� FLOOD ZONE AREA �YES NO
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<br /> BUILDER � ��� �= COMPANY <L�'� 7� - �c1�d'^+ �.,�}'L�-
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<br /> REOtSTERED Y) N FEE CURRE� Y/N
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<br /> License# T.�
<br /> ELECTRICIAN ���,..-� � COMPANY ��%� �tJ'����� �t �'��r� �-
<br /> 51CNA7UAE ��� REC3ISTEFiED Y/ �1 FEE CURRE� Y/N
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<br /> SlGNATUF�E `'" � REGtSTEflED Y J N FEE CUARE� Y I M1t
<br /> Addres�s ��� l� �(„)' � �v� �� License# ��C ���$�d� �
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<br /> SIGNATUR i RECatSTERED Y J N FEE CURRE� Y J N — i
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<br /> 51GNATUR ��'"'�'� �aMPANY �I.i E�.G-r'r:,� �C3GH- 1 �"'►
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<br /> RESiDENTi�L Attach{2}Plot Ptans;{2}sets of Building Pians;(1}set of Energy Farms;R-0-W Permit for new construction, �
<br /> Minimum ten(10)working days after submittai date. Required onsite,Construciion Plans,Stormwater Plans w!Sitt Fence instai(ed,
<br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions(large projeots ����
<br /> C4MMERClAC. Attach(2)comptete sets of Buiiding P(ans p�us a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new canstruction.
<br /> � Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Starmwater Plans w!Silt Ferice instalied,
<br /> Sanitary Facllities&1 dumpster.Site Work Perm3t far al!new projects.A!!commercial requlrerr�ents must mesi compiiance
<br /> SIGN PERM T Attach (2j sets of Engineered Plans. "
<br /> ****PRQPERTY SURVEY required for alt NEW construction.
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<br /> Directions: (
<br /> Fi!!out application completely. ,
<br /> Owner&Contractor sign back of application,notarized " `"
<br /> if over�2800,a Notiae of Commenceinent is required. (A(C upgrades over$75QOj
<br /> ** Agent(f�r the contractor)or Ppwer of Attorney(for the owner)wc�uld be someone with notarized leKet frQm ownQt authorizing same
<br /> OVER THE C�OUNTER PERMITTING (copy of contract required) ,
<br /> Fieroafs if shi�gles Sewers Service Upgrades A/G Fences(Plot/Survey/Foatage) ' '
<br /> Drivew ys-Not over Counter if on public roadways..needs FiOW
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