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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> �• Building Department
<br /> �
<br /> �
<br /> Date Receive
<br /> ii Phone Contact for Permltting - –
<br /> Owner's Nam II �( l ('�l� �J Owner Phone Number �� '—1 0��
<br /> Owner's Address � S Owner Phone Number
<br /> Fee Simple Tit�eholder Name Owner Phone Number
<br /> Fee Simple Tit�eholder Address
<br /> JOB ADDRES �Jo��� � f'o� v"'�' LOT# �
<br /> SUBDIVISION PARCEL.ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROP�SED .. NEW CONSTR"e ADD/ALT � SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED U E SFR Q COMM Q OTHER
<br /> TYPE':OF CON TRUCTION Q BLOCK -- Q FRAME 0 STEEL Q
<br /> DESCRIPTION OF WORK ^ �r�J al C�, `��� T�t' � UJ
<br /> BUILDING SIZE SQ FOOTAGE � HEIGHT • -
<br /> , :.�_., .li
<br /> QBUILpING $ ���GI VACUATION'OF TOTAL CONSTRUCTION
<br /> QELE�TRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> �
<br /> OPLU BING $
<br /> QMEC ANICAL $ VALUATION OF MECHANICAL INSTALLATION � � � O"' �
<br /> Q,GAS Q ROOFING Q SPECIALTY Q OTHER
<br /> FINISHED FLO R ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> <BUILDER COMPANY �b('f�Q.CS`✓�-�`l
<br /> SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N. .:
<br /> Address -License#
<br /> ELECTRICIAN , . . COMPANY
<br /> , SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address - License# `
<br /> ,f-,�, �
<br /> PLUMBER.,, , - COMPANY-
<br /> •SIGNAtURE_ =REGISTERED Y/'`N FEE CURRE� � Y/N'
<br /> Address ' License#`
<br /> MECH741VICAL' ' � COMPANY � ��
<br /> � SIGNATURE"'" � ' ' REGISTERED , Y,/ N , FEE CURRE� Y/N �
<br /> Add�ess:•" � ' ` " License.# -
<br /> . �;,?sa.�`< . , - -
<br /> ;.:'OTHER���'':-: � � ' COMPANY
<br /> ':� 'SIGNATURES�;i z i �• - - � - REGISTERED Y/�.N_ FEE CURREK Y/N
<br /> <, r � ,.r ,_ - .
<br /> �. Addressr. .�.- - - • � - - 'License#
<br /> 'r � ,:.,. , . , , ,
<br /> - � .. _._ ., . . -, , - 's;.:..; ,,. `, '
<br /> �:�'��RESIDENTIAL�,; `Attacfi=;(2);PIoti:Plans'(2):seCs�of`Buiiding Plans;(1•)set of�Ene�gy�Forrris;R=O-W Permitfor'new.constiuction,. ,
<br /> _ .-.;3;-:;,;:;, :-,:Minimum;ten�(,10):working}days:aftersutimitt'al:date.�Required'onsite;Con`s'truction Plans,Storinu"vater Plans w/Silt Fence installed,
<br /> %.�� _�� � � Sanitary.;FaciUties,&.;,1�;dumpste.r•;Sife:Work!Permit#or.:sulidivision§Aarge'p�oject's " = �
<br /> ` .;COMMERCIAL Attach�(2)'complete'sets of'Building'Plans`plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for'new construction.
<br /> � Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> :;�:,� , . San(tary Facilitfes�1 dumpster,Site Work Permit"for'all-new projects.All commercial requirements must meet compliance
<br /> ;,:;SIGN;PERMIT "Attach"(2)sets,of,Englneered Flans:� � '
<br /> "'"PROPERTY SURVEY required.for._aII.NEW.constructlon..
<br /> �;Directions: s�->::�,�:, - ., -
<br /> "`� t F(IC:outappl cation completely.
<br /> O.u"uner.&CanVaotor sign;back of appllcation,notarized
<br /> r ;If o.'ver$25Q0;a Notice.of;Commencement is required. (A/C upgrades over$7500)
<br /> ':,�.. c.. .�1�'.,.., rT.��r._
<br /> .. AgenY(for the�conVactoFpor°Fower`of Attomey{for tFie owner)would be someone with notarized letter from owner authorizing same
<br /> �.,
<br /> �='OVER.THE COUNTER_PERMI7TING,_:..�;�(coPX-of contract�.required) '' '""' '' . . ,
<br /> :;Reroofs if shingl yes Sewers � Servlce Upgrades A/C",�, Fences(Plot/Survey/Footage) , , -, ' �
<br /> _. ... _- ��-�- � •._.....:�.,.;, - ��• = ,- ' , . �_ _ , .;._
<br /> •.:. : , .;�•�� `- '
<br /> .._-,.......�-........_-.... , . .,,.-. ;•::'- . , - '�
<br /> �' Drtveways- ot over Counter if on public';roadways..needs ROW � . , -� � '",. , ;�
<br /> � � , , `.. . . _� � .. .�,_,._.,,, .. ...�,.�,..:.. ., I
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