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813-780-0020 City of Zephyrhills Permit Application F�-s�3aso-ooz�T �
<br /> •• � Building Department
<br /> Date Received F'e b. � � � I
<br /> - �Phone Contact'for Permltting.-
<br /> Owner's Name �� �G V�� 61 Le, Owner Phone Number . 4 �� '7�Z`��6� �
<br /> Owner's Address 5 �� f 3� 5+ ��'tir��'�S Owner Phone Number �
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Slmple Titleholder Address
<br /> JOB ADDRESS ��I�I� LOT# �
<br /> SUBDIVISION PARCEL ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED ,. NEW CONSTR ADD/ALT 0 SIGN Q � Q DEMOLISH
<br /> e INSTALL REPAIR
<br /> PROP„OSED USE � ' SFR Q COMM Q OTHER .
<br /> TYPE:OF CONSTRUCTION Q BLOCK •- Q FRAME 0 STEEL Q -
<br /> .. � .�
<br /> DESCRIPTION OF WORK ��5��`��"�L�" ����- �✓l C �o$u►�� a8 X �'1"
<br /> BUILDING SIZE SQ F.00TAGE� HEIGHT •
<br /> QBUILDING $ ��qp� VALUATIOIV'OFTOTALCONSTRUCTION
<br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ /
<br /> � ,�, l� �✓
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION' Q� �� �,
<br /> / L%— �
<br /> Q,GAS Q ROOFING Q SPECIALTY Q OTHER r��� � � l!/��
<br /> FINISIiED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � 6��
<br /> �
<br /> BUILDER ���� 9 � �COMPANY r '-���' ��� e�
<br /> SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y%N
<br /> Address "Ciaense#
<br /> ' :ELEC,TRIGIAN . COMPANY �
<br /> ,. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address Licerise# �
<br /> • ,:.,.,
<br /> P.LUMBE,R:,,, . COMPANY '
<br /> SIGNATUREy REGISTERED Y-/ N FEE CURRE� Y/N
<br /> Address. License#
<br /> MECHANICAC � COMPANY �
<br /> '� SIGNATURE"' � � � REGISTERED , Y 1 N FEE�CURRE� Y/N
<br /> �. �.
<br /> Address-- � ' _ License.#
<br /> �ii"ss. ° ... .
<br /> OTHER� '�?: � " COM,PANY
<br /> _��SIGNA:T:URE�.;.:•.: ,^ - � " -REGISTERED Y/.N FEE CURREK Y/N
<br /> c:i. '�•"��-.- '�a' . � �• , . �. : .
<br /> Aaa�egs,<; ' . � . License#
<br /> :'s,..:.:.: , ,
<br /> ;;�: .. . .
<br /> <,_�RESIDENTIAL;;;: i4ttach;;(2)::PIot�Plans;�:(2)ssets�of�Building-Plans;(1)°set of�EnergyForms;�B;O=W PeRnit,for new,construction, I
<br /> - -.,.�;y:;,�,;i.;�:,_;Minlmum•:ten=(10)working?days afte�.sutirtiittal•date.`Required'.onsite;Constiuction Plans;Stormwater Plans w/Silt Fence.installed,
<br /> -_. " �� Sa'nita�ry,,Facilities°:8�;1,,cJumpster;�Sife;Wor,k Rermitfor�subdivisions/large:projects' � ` � � � -
<br /> :��COMMERCIAL Attach`(2)'complete"seCs of'Building Plans plus a�Life Safery Page;(1)sefiof 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 /> H;,;- Sanitary Facilitfes&1 dumpster.Site Work Permit-foP�all�new p�ojects.All commercial requirements must meet compliance
<br /> �;':.SIGN`PERMIT Attach°(2)'sefs-of;Engineered�Plans:�� . -. �
<br /> �.�;�.," `"""PROPERTY SURVEY required�or.,aII.NEW.construcBon. _ "
<br /> ;�f.- - -
<br /> ��':Diiec'tions: r.:;;:.;�,-.
<br /> ' " FIII-.out.application completely.
<br /> `O,inmer&Cantractor sign.back of appllcation,notarized
<br /> - 7f over$2500;a Notice.of:Commencement is required. (A/C upgrades over$7500) ... ,
<br /> ._
<br /> ; , 4�"''": -"' .a- . .- . �s.�.
<br /> ,''=" A enY for'tfie�cont�aotor orFower•'of�Attoriie",for ttie;owner would 6e someone with notarized letter from ownen authorizin .same���:�•.� �
<br /> 9 � ) � _ -,:,,__: Y� ) _ 9 .
<br /> , `.
<br /> .��OVER.THE�COUNTER;PEitMITTING,''_ ��(copy:of,contracf:required) ` �� �` L - , ," ' ' '""'"� : : •�;
<br /> `=Be�oofs if sfiingles Sewers� 'Service•Upgrades,/VC�: �• Fences(Plot/Survey/Footage) � . , . , ` ; ' � . ; - •
<br /> ;; �• • ... . .,•, ,r,,� :. _ _ -
<br /> ..___.,�,...--,....,-:� .... . . ,,.., . . .. . . , -
<br /> Oriveways-Not over Counter if on public'roadways:needs ROW � w y � �
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