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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> •• Building Department
<br /> Date Received 2,� � Phone Contact for Permitting • —
<br /> Owner's Name c� `� Owner Phone Number
<br /> Owner's Address �'i 4 �� � 1{--' 1 " � Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS ;��J L1�IGt-,'S"i G �6C Z�P k i'�� I� 1 C.� l`" � LOT# �
<br /> SUBDIVISION PARCEL ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e �. NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
<br /> INSTALL ' REPAIR
<br /> PROPOSED USE � �- Q`--SFR Q CGMM —� [� �OTHER . " -- __
<br /> TYPE'.OF CONSTRUC'1'ION Q BLOCK �• Q FRi4ME 0 STEEL Q
<br /> - � � �
<br /> DESCRIPTION OF WORK -
<br /> BUILDING"SIZE SQ FOOTAGE� HEIGHT •
<br /> QBUILDING $ �,oo a�� VALUATION'OF TOTAL CONSTRUCTION
<br /> QELECTBICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> `� `�� 3�
<br /> QPLUMBING $ �
<br /> � �(� I� ��-
<br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � u
<br /> r� �
<br /> Q,GAS Q ROOFING Q SPECIALTY 0 07'HER �
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QXES. NO �(p�(,��Q �����`� �
<br /> ro�s �Dr-�
<br /> --s�s����x------- ------- - -cer�P�v=-- — � -- - - - - -
<br /> - --- - , - =- � = -.,.-�---- - - -- -
<br /> SIGNATURE +) '� REGISTERED Y FE CURRE�. %N
<br /> Address License# �
<br /> ..,':._
<br /> -'ELEC,TRICIAN COMPANlY
<br /> "SIGfdATURE REGISTERED Y/ N �FEE CURRE� � Y/N
<br /> Address - License.# "
<br /> F, _ `
<br /> PLUMBER_,,_, COMPANY-
<br /> SIGRIATURE -REGISTERED Y•/�N� FEE CURREA � Y/N
<br /> Address License#
<br /> ., .MECHi4NICAL COMPANY�
<br /> SIGNATURE'''' ' REGISTERED ,, Y/ N , FeE.euw�en Y/N
<br /> Ail'dress�-' � � � License.#
<br /> ,',:.. .- " : . •
<br /> ; OTHER" ."�.° ' " 'COMPANY ,
<br /> `�"SIGNA�URE:i,;��:� .�• - . REGISTERED Y/.N FEE CURREK Y/N
<br /> .4 :i.. i ... .. � , _ i. . �
<br /> . Address,-. - _ �- • - License#
<br /> �, ..
<br /> ?;......, ' � . . . , . . •,: ,, � .,.-..-: : , . ;. . . . ..
<br /> _`:RESIDENTIAL,;;;�`;At#acfi`(2);Plot`Plans;,(2):setsof`Building`Flan§;(1)°set'of�EnergyForms;R';O=W Pemiit,for'new.construction,. . .
<br /> _ �-�=::a:'-;.���:;:�;;Minimum;;ten�(�1U)working4day"s:after`submittaC'date:'Required onsite;Constr"uctiortPlan's,°Sto�'inwater Plans w/Silt Fence installed,
<br /> `�,. ����� � Sanitary;Facilities;&ry1.,dumpster;;Sitei,Work:Permit.forsubdivlsions/large`projects � '4 � - -
<br /> .��:'C.OMMERCIAL Attach`(2)�complete'sets'of'Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construotion.
<br /> _' - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> r" � Sanitary Facilities&1 dumpster.Site Work Permit fo��all-new p�ojects.All commercial�requirements must meet compiiance
<br /> :;•�:SIGN�PERMIT "-Attach(2)sets.of{Eogineered Plans:�� � �
<br /> �<;::�;. .,..
<br /> ""'PROPERTS'SURVEY required,for aII.NEW construction._
<br /> �;. . _._......._...____.._..M.�.___.�_
<br /> �Directions: ,�.;<, , � ., .
<br /> - "`J�Fill:.outapplication completely.
<br /> �Ouvner'&Contractorsign back of application,notarized
<br /> -if over$2500,a Notice:of�Commencement is required. (A/C upgrades over$7500)
<br /> '"' ,AgenY(for`HYe�coritractor)or Power'of'Attomey(for'ttie owner)would be someone with notarized letter from owner authorizing same
<br /> ��.;OVER'.THECOUNTER;PERMI'RING_ . ,,,,(copy,of;contract•required) _ '' ` - " , , � ,
<br /> :��Reroofs ifshingles Sewers - Service Upgrades.A/C "' Fences(Plot/Survey/Footage) �' �
<br /> Driveways-Not over Counter if on public roadwaqs..neecls ROW ' ; ; � '
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