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813-780-0020 City of Zephyrhills Permit Application ' F�-8�3aeo-oos�
<br /> ' Building Department
<br /> Date Received -'`l •Phone Contact for Permitting ` ��,3 !�� ��(�
<br /> wner's Name LLG Owner.Phone Number � � 1� `��`Z
<br /> Owner's Addre �( � ,�� � Owner Phone Number
<br /> Fee S1mple Titleholder Name Owner Phone Plumber
<br /> Fee Simple Titleholder Address _
<br /> JOB ADDRESS O �T S LOT# �
<br /> SUBDIVISION Sb� d' PARCELiD# � �����OI �`������8 O
<br /> , (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROPOSED - B .. NEW.CONSTR e ADD/ALT . 0 SIGN Q Q DEMOUSH
<br /> INSTALL REPAIR
<br /> PROP.,OSED USE � SFR Q COMM 0 OTHER `
<br /> TYPE"OF CONSTRUCTION Q BLOCK • Q FRAME �_ STEEL
<br />� DESCRIPTION"OFWORK�'� /✓�// /(/eVl/ D✓�I� J � � � � _ 'i
<br /> V `-�
<br /> BUILDING SIZE �� X✓� � SQ FOOTAGE �O 3.J HEIGHT - ,
<br /> �BUILDING �D�, ��*s'i VALUATION'OFTOTALCONSTRI'JCTION
<br /> •:QELECTRICAL $ ��v� AMP SERVICE �S� �. PROGRESS ENERGY Q W.R.E.C.
<br /> I � (� �� /�,�L�"
<br /> ,OPLUMBING $ �/�, �c7 . I/�(�� l l•` /j l��� ' `�i����I.�
<br /> ��v /u �� �/
<br /> . /�•�,
<br /> QMECHANICAL $ S-�..�d . VALUATION OF MECHANICAL INSTALLATION �j � (�'\ i
<br /> QGAS Q ROOFING Q SPECIALTY Q OTHER C�,aj� �K�' `� i
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N 1 � /�L'�
<br />� y-.���
<br /> aui���� ���'C �e��— COMPANY �G��'-i /�(� l�L�G C COS .3c� �
<br /> SIGNATURE REGISTERED Y-/ N FEE CURRE� Y%N
<br /> Address "License# . 1,.��,
<br /> ,"ELEC,TRI,CIAN COMPANY � � r _ L�"�� �
<br /> . SIGNATURE ' REGISTERED Y/ fV FEE'CURRE� Y/N.
<br /> . . ' - G�-�
<br /> . Address � - License# 7 ri
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<br /> PCURIIBER,;:, �'��,Q�(���CC�1w� COMPAPIY , � `n15 �t�\K�-t115, I r�C..� ,
<br /> �SIGNATURE, � `/�oY v REGISTERED • :N,�•` .. ;FEE CURRE� Y N
<br /> Address 5�D� 17�k�t ze.ph�c ln�t�s;r� 3 3 5<<� License#. ��C �`t�S�O�
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<br /> �1: ' �/� � �_,�s � . .
<br /> MECHANICA4�*-�� i..'--�---`" P/� �.�,.COMPAfVY..�..,.._.�.,.._:_;.:..:�,.�.�-: ',�---�_..._�.�....�'.:.:,.�..:..,:��..a.._=..,;s.:e..:..�...„:�,,�
<br /> .,-,SI ATU s��a,�.r"`o�`�� °�----�-"'�. _"',` --
<br /> �� � � t�' ' REGISTERED , Y/ N FEE CURRE� . Y/N "��
<br /> - '�"'�n.�� .
<br /> address�� � � - � - . L•icense# .
<br /> x�'�� ,- .. . . ,
<br /> �P.�^:.' '� ' _ f ' _ /1
<br /> OTHER-= `.'�'�, ` - COMPANY ::�
<br /> ;:�:SIGNATURE�,a :�;: ,•�` _ .. . � ,
<br /> REGISTERED Y/ N FEE CURRE�' . Y/N
<br /> ' r.; }. , . ' ' `
<br /> �- •Address��� "- �`' � ° -- License#
<br /> :�RESIDENTIAL��,;:,:';Attacli�(2)�;RIoti.P.lans;:(2.)4sef§of�Building{Rlans;(1-)°set ofEneF '.Foims;'R';0-1N.Fermit for new.construction � .
<br /> '-< '. = - _. . 9Y,,._,:. ,: �: ;� .. •
<br /> '�F ;- -,L:;p''�"ry:�:`�•.3';�:-�;Minimum`;ten,;(;10)wp�king;days:afte��sutimittal:date:��:Required'orisite;�Constriibtion�Plans,�Stormvirater Plans�w/Silt Fence installed,
<br /> `�� � 8anit�ry:�Faciqties;&s�,1�.dumpster;,SitesWotk P:ermit for:subdivisions/la�ge`projects'-=` ` ` �^` � �
<br /> ".�����< . .
<br /> ���GOMMERCIAL Attacli�(2)�complete'sefs ofBuildirig�Plans�plus a�L'ife Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> ,
<br /> _ � Minimum ten(10)working days after submittal date.-Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> } SIGN:PERIIHIT AtfacFi 2):sets;.,o,f�Enginumpster.3ite Work,Per►nit fo��all•new.projects.FJI commercial requirements.must meet compliance
<br /> - Sanita FaciliBes�1 d
<br /> - 'ee�ed°Plans:r'.� • , � - " �
<br /> - *"*PROPERI'Y SURVEY required.for,aII,NEW construction:• _
<br /> :Di►ectioris: „ _. ,,, -. � _
<br /> _"; �Fill:out:application completely.
<br /> Ouvner&Contractor sign:tiack of application,notarized
<br /> If over_$2500,-a Notice•.of:Commencement.is required. (A!C upgrades over$7500)
<br /> ';..�:: •A.x.,-,,.,._r�:"�+. i
<br /> -. ,i4genY(for'the'contractch)or•Power•of`Attomey(for'ftie oinrner)would tie someone with notarized letter from owner authorizing same
<br /> ;;;OVER;THE COUNTER PERMITTING:_, ,(copy_of-contract:required) ' " `"' � �i
<br /> =;;Reroofs.if sfiingles Sewers Service Upgrades A/C Fences(PIoUSuroey/Footage)
<br /> - .Driveways-Not over Counter i��3n`���li'`F�2dw�'j�".`:n�e° � -
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