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- s�3aao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
<br /> • � ` Building Department
<br /> Date Received �• a l' � Phone Contact for Permitting " ,� sp?� — T�'
<br /> Owner's Plame ,�c.Geq 9� _C�t,/��- Owner Phone Plumber , ���' ��1� T rZ ,
<br /> Owner's.Address Owrner Phone Mumber "
<br /> Fee Simpl�Titleholder Name . Owner Phone Iduenber
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS ���a, • �C� LOT� �
<br /> SUBDISLISION- �r prr�• yJ P/4RCEL ID# 7 ° o�S• a/. (�� �• O Q O O •�?3S0
<br /> , (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROPOSED . NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH �
<br /> , e INSTALL B REPi41R ' j
<br /> PROP,OSED USE Q SFR Q COMM � OTHER . ' j
<br /> ' TYPE:OF CONSTRUCTION Q BLOCK - Q FRAME , 0 STEEL Q �
<br /> DESCRIPTION"OF WORFC 6* /� � ,i7 7�Qi'J i �/✓,� �
<br /> . �
<br /> I
<br /> BUILDING'SIZE � SQ FOOTAGE� HEIGHT . I
<br /> ,,�,
<br /> OBUILDING $ VALUATION�aOF'TOTAL CONSTaUCTION �
<br /> QELECI'RICAL $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ '
<br /> ,. l � l �
<br /> QMECHANICAL $ `� �� � VALUATION OF MECHANICAL INSTALLATION `�
<br /> QGAS Q ROOFING Q SPEGIALTY 0 OTHER '�� � �
<br /> FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> - --- — ---- - — — - �--- --- — ,--�_ _ — — - — - -- - — -- —i— -
<br /> BUILDER COMPAPIY
<br /> SIGWATURE REGISTERED Y/'=N FEE CURRE� Y/N .
<br /> AddPess � License#
<br /> ELECTRICIAN COBA PANY
<br /> SIGNATUIdE ` REGISTERED Y/ N FEE CURREfi Y/N
<br /> Addr�ss � Cicense# � `
<br /> ' I
<br /> PLUMBER.;;, COMPANY ,
<br /> SIGNATURE - -REGISTERED- �Y�/ N �FEE CURRE� Y/N
<br /> Addre•s. License# - ,
<br /> . �e . - ,
<br /> ' MECHAIdICAL � - COhAPA(dY GO � l�
<br /> '± SIGPIATURE" t�I,GO REGIS7ERED Y N F.EE CURRE� Y/N
<br /> � �aaress � G� O/ �• • J 3�01,�License# �a, o S�� �
<br /> ._�;};.; - .
<br /> . OTHER=� ��'° � . COINPAPlY �
<br /> SIGNATUFZE�i .% ' � REGISTERED Y/.N.' FEE CURRE� Y/N '
<br /> •.�`�..""•; . -. .
<br /> Address:�.;;: -• � - - L'icense#
<br /> _�, , ,
<br /> ;.'RESIDEiVTIAL.;:,, AttacF%(2)"PIoYP.lans;�(2):'sets�of'Building�Plans;(1)set of°Energy fomis;R-O-W.P.emiit for new..construction,
<br /> _ ;.��;.�:,;ys�-�;Minimum,;tenN(,1'Q)uvorking:days�afte�:sutimittal�date. Requireii`onsite;'Con`stniction Plans;Stormwater Plans w%Silt Fence installed,
<br /> _- - VSanitary�Facilities�&.1s_dumpster;Site,WorkPeiniitfor.subdivis'ions/large:projects: � ` - �
<br /> :,.,COMAAERCIAL. AttacFi`'(2)'co�mplete`'sets of'Building�Plans plus a�Life Safety Page;(1)set of Energy Fortns.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 /> r- Sanitary Facilities&1 dumpster,Site Work.Permit fo�all new p�ojects.All commercial requirements must meet compliance
<br /> ���SIGN PEl2WIIT AttacFi`(2)"sets�of�Engineer�d Plans:',: � �
<br /> - *""FROPERTY SURVEY required for_aII..NEW construction. , . '
<br /> "Directions: _- : � -.. . _
<br /> Fill'out application completely. ,
<br /> Ovimer 8 Gontractar sign,back of application,notarized
<br /> If o'ver$2500;a Notice of Commencepnent is required.,_(A/C upgrades over$7500)
<br /> � "' Agent(for:{h'e�cont�actor.)or�Power of:Attomey(for�tFie`owner)`would be someone with notarized letter from owrner authorizing same
<br /> ��OVER`7H�COUNTER.PERAlIITTING.: � :.(copy-of-contract-requi�ed) ` ', -
<br /> "Reroofs if'shingles Sewers , Service Upgrades A/C �� Fences(Plot/SurveylFootage)
<br /> Drtveways-Not over Counter if on putilic ro�adways..needs R01N �
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