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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 �
<br /> ,-�.�.�, � ` Building Department
<br /> Date Received Phone Contact for Permittin —
<br /> 9'-'
<br /> Owner's Name (/ r� � e/ J� �///� � � ��o Owner Phone Number . G/ .3"�J�J ' �� /
<br /> Owner's Address � � . p�p � 1 ,�C� Z��.7 Owner Phone Number
<br /> Fee Simple Titleholder Name �rC��L O/� Owner Phone ldumber
<br /> Fee Simple Titleholder Address �(�_ SC ���U C��
<br /> JOB ADDRESS LOT# �
<br /> � SUBDIVISION PARCEL ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED B . NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br />' PROP.OSED'USE Q SFR Q COMM Q OTHER .
<br />, TYPE':OFCONSTRUCTION Q BLOCK �• Q FRAME. � ST,EEL Q
<br /> ,. .�
<br /> DESCRIPTION OF WORK ',L�-��'j f' C C JL j SC, �
<br /> BUIL"DING'SIZE SQ FOOTAGE�• ; HEIGHT •
<br /> QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION ,
<br /> ^[�. ELECTRICAL $ `�Gv• Q� AMP SERVICE PROGRESS ENERGY 1
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<br /> ��_ j�� Q Q W.R.E.C. �
<br /> !V J�"'C
<br /> QPLUMBING $ I
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<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> QGAS Q ROOFING Q SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE.AREA QYES NO
<br /> BUILDER COMPAIdY
<br /> SIGNATURE REGISTERED Y'/ N FEE CURRE� Y/N '
<br /> Address • License#
<br /> _:, . .
<br /> 'ELECTRI,CIAN .�; COMPANY� - " �. ^C.�'�S C
<br /> SIGNATURE REGISTERED Y N � � FEE CURRE� Y/N
<br /> ` Address Co'vi�i�'?,,,� ;l}r0 '' ,�j'7-S ; . License# C O �- �� '
<br /> �':tf` .
<br /> P.CUMBER;,: , COMPANY.-;_ ':` ,
<br /> SIGNATURE REGISTERED- :' Y/' N:. .-`-: FEE CURREK� Y/N
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<br /> Address ��'�•License#_.. �
<br /> - , .. ,
<br /> MECHi4NICAL' � , CONIPANY
<br /> " SIGNATURE� � � REGISTERED �Y/-N. ,: FEE:CURRE� ,:- • Y`/N _: -
<br /> ;,.:,
<br /> Addce"ss�� ` ' ' l:icense# � ,
<br /> �J;.w� � :, . .
<br /> .:. OTHER°� ,'� = �� " , COMPANY
<br /> ';SIGNATUREu.s,. ;s: :« _ - REGISTERED � Y/ N. FEE CURREK Y/N
<br /> ` r' , . .
<br /> Address;=;, - - � ' - � � License#
<br /> :.�. 4.,
<br /> s"RESIDENTIAL�.k�;: �Attach�(2)=PIot;Plans;`'(2.).sefs�ofBuilding�Rlans;'(1)`sef`ofEne�gy.Forms;R;0=V11Perrri'it,forn.e_.w.construction,
<br /> -�;__ ,.
<br /> - -,k�.:��r.r,.y�:*:Min.imum,ten�(10)�wo'rking;days.after su6mittaGdate:-Required onsit'e';`Goristrilctian Plans,'Stormu'vater Plans w/Silt Fence installed,
<br /> '�<.�, r.. .. , ;.� - t; .
<br /> __ 1 � Sanifary:,Facilities3&;,r1.�dumpster�Sife;..,W,orkRermit.foc,subdi4i§'ions/large'p�ojecfs`_ ` -
<br />_ :`�:COMMERCIAL Attacti:(2)`complete'sets"of'Building Plans plus a Life Safety P`age;(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�-all�new•projects.All commercial requirements must meet compliance ,
<br /> +r::�:._ ,__.._..,....� .
<br /> ��=aa .
<br /> ,L.SIGN.PERMIT '"Attach(2)sets_of;Engineered.;Plans:��� ::�� - , �
<br /> ..,.,.. ..
<br /> `� �" "'"•PROPERTY SURVEY required for.all.NEW..construction.• �
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<br /> r�'Di�ections: ,�;�-:�,;, , �
<br /> a�:-... : .
<br /> �` �Fill�ouYapplication completely. �
<br /> - �Qvuner'&ConVactor sign back of application,notarized .
<br /> ��� if over$2300;a Notiae.of Commencement is required. (A/C upgrades over$7500) �
<br /> :::..:• �,,.-:..,--.:.=•�•a
<br /> . AgenY(fo��'th'e�cont�aator)�orFower�of'Attomey'(for'tfie owner)would'6e someone with notarized letter from o,.wner authorizing same
<br /> ;-�OVERiTHE:COUNTER;�PERMIT-TING_. .._ .,(copy;of_contract�r.equired):t�� �_•, ., - � _ „ ,
<br /> -.V�Reioofs if,'shingles Seuvers Service'Upgrades IVC�. Fences(Flot/Survey/Footage) � " � - , . ,
<br /> ' Driveways=Not over Counter if on public`roacJway§:.neeils ROW�•J'.� _ ., ,�„ ' ,. ., ' �
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