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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> � Building Department
<br /> Date�Recetved �
<br /> 2J -% —/� Phone Contact for Permitting ��S`,3
<br /> i /
<br /> Owner's Idame �-� / Owner Phone Number �' ' �
<br /> Owner's Address 9 // -� Owner Phone Number 8� - ��,3 - ��5�'-�d
<br /> Fee Simple Titleholder Name Owner Phone Number �� . '
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS ��(n 6� � � y�c LOT# ��v
<br /> SUBDIVISION PARCEL ID# 3 � —�.(S�' " �-�- / (� -- C�00 - ? �
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE Q SFR Q COMM � OTHER
<br /> TYPE'OF COfVSTRUCTION Q BLOCK • Q FRAME �] STEEL Q
<br /> DESCRIPTION OF WORK , G/O /yI / C�/��(�j'7� / l.�C� I �i'�.
<br /> BUILDING SIZE SQ FOOTAGE� HEIGHT
<br /> QBUILDING $ 6 �� VALUATIOM OF TOTAL CONSTRUCTION
<br /> ,
<br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ � l� (a��
<br /> �
<br /> l
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> , , C , 0�
<br /> BUILDER �-�` COMPANY 0�����
<br /> SIGNATURE - -'�y�-C REGISTERED Y/ N FEE CURRE� , Y/N
<br /> Address License#
<br /> ELECTRICIAN COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address Cicense# J
<br /> PLUMBER COMPANY -
<br /> SIGWATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address - • ' License#' �
<br /> MECHi4NICAL � COMPANY �
<br /> SIGRIATURE REGISTERED -Y/ N FEE CURREI� Y/N
<br /> Adcl�e'ss � � L•icense#�.
<br /> .��y, � � ... . ' �i
<br /> OTHER� '� COMPANY
<br /> "' SIGNATURE: � REGISTERED Y/.N , FEE CURRE�' Y/N
<br /> Address _ - � License# '
<br /> RESiDENTIAL �- Attacli'(2).Plot Rlans;(2)•sets of Building'Plans;(1)set`of EnergyForrris;R,O-W Permit for new.construction,
<br /> , ;- , -, Minimum,:ten-(10).working:days after subrriittal�date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&:1�.dumpster,Sife.Work Permit for subd'ivisions/large,projects
<br /> • COMMERCIAL Attach'�(2)complete sets of Buildirig 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 /> Sanitary Facilities&1 dumpster.,Site Work Permit fo�al{new projects.All commercial requirements must meet compliance
<br /> � SIGN PERMIT Attach(2)sets of,Engineered Plans. �
<br /> ""•*PROPERTY SURVEY required for aII.NEW.construction. ,
<br /> Directions: . , -. - �
<br />� Fill out application completely.
<br /> Owner&Contractor sign.back of application,notarized
<br /> If over$2500;a Notice of Commencement is required. (A/C upgrades over$7500)
<br /> �" Agent(for the contractor)-orPower of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
<br /> ;'UVER THE COUNTER PERMITTING (copy of-contract required)
<br /> ":Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
<br /> :�.i�-A.e-.�..�.'.":s,�,-.. .. :ai��_.-a.�...:�bu4.':..
<br /> rrveways-Not over Counter if an public roadways..needs RO.W,. _..:.... , • . � '`�- ,
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