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<br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> " Building Department
<br /> Date Received
<br /> Phone Contact for Permltting � —
<br /> • Owner's Name L���" %"� � l� � Owner Phone Number
<br /> Owner's Address Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS "! C�.I LI U LOT# �
<br /> SUBDIVISION PARCEL ID# ���� ��I �j b��d /�C/ � � �
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED ,. NEW CONSTR ADD7ALT � SIGN Q Q DEMOLISH
<br /> INSTALL e REPAIR
<br /> PROP,OSED USE SFR Q COMM 0 OTHER
<br /> TYPE'"OF CONSTRUCTION Q BLOCK •- Q FRAME 0 STEEL Q '
<br /> .. � � ,
<br /> DESCRIPTION OF WORK � � ' � (�L� �, (�/� �
<br /> BUILDING SIZE SQ FOOTAGE HEIGHT •
<br /> OBUILDING $ VALUATION'OF TOTAL CONSTRUCTION
<br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> .
<br /> QPLUMBING $
<br /> MECHANICAL $ .� VALUATION OF MECHANICAL INSTALLATION
<br /> ' �
<br /> QGAS Q ROOFING Q SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> •BUILDER COM PANY
<br /> SIGPlATURE REGISTERED Y�/ N FEE CURRE� Y%IV
<br /> Address License#
<br /> , , .
<br /> -ELEC,TRI,CIAN COMPANY
<br /> SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N.
<br /> Address . License# '�
<br /> _..., �,,._ ,
<br /> PLUMBER.;;., COAAPANY. �• " ' ' '
<br /> 81GNATURE REGISTERED ' Y,/'N� �" FEE CURRE� Y/N
<br /> Address ' L(cense# .
<br /> - , � . .
<br /> ;:':MECHANICAI:� ' '�n � COMPAIVY: � � ���
<br /> " SIGNATURE"�� ' � C'���/"—1 REGISTERED Y,/ N ._ ; FEE CURRE� Y ,. .
<br /> Add�ess'• - ' ' License# �� � -
<br /> >F�i=.. , . . - : ,
<br /> OTHER:. �;`: ' •= -- � ` � 1COMPANY �- I .
<br /> .,�'•`_SIGNATURE;:�.�;::'i .•`.' . - - " ' REGISTERED . . Y'/ N. � FEE CURREK : Y./N ,
<br /> . , �_ ,.•i�;iiE:i.,, i .. , �. _ - - .. . ' - . _
<br /> , Address��:,., -_ :n�' �;�� � ' ,` ` , -Li6ense# ' '- ' �
<br /> �:,. - _ _ -
<br /> :;lL:� - • � � _ _ -_ �5..,.;��,��;'- _ • _ � , � - _ �, . • � �
<br /> -•RESIDENTIi4L���•w: Attac{i;;2;P,.lot'Plans; 2��s'efs°�of Buildin'��Plans; 1•�`seYof Ene�y:Forms;�R-Q-VV;`Permit:for new�.construotion,.� -
<br /> ° . _ .. ,. .�,. ._.,. �.), � ),. . 9. �.). _.. �9.,,.. __, .., , : _. r .'�.� �-_. .:.."` '
<br /> x;,.•,,, -�.�.Minlmum,:ten;.(,1.0)working;days'after.submittal:clater"Required�onsite;Gon`stniction Plans;Sformwater.Plans,w/Silt;Fenc'e:installed, . ,_
<br /> ,.- ;:`.-,.,x, -. . .
<br /> `� �-� �' '`f���" Sanita,ry,YFac(lities�1 dumpster,Site;�VKo[k�Permit for;§ubdivisions/large projects == �`• � ''= - ` -� -� �
<br /> .,;;- . ., - .� . .� . . - -
<br /> ,�r:�COMMERCIAL' � Attacti-'(2)'complete`sets:�of�Builiiing.Flans plus a�L'ife Safety.Page;:(1.)set;of;Energy.Forrns.�R=O-W.Permitfo�new constiuctlon: - °
<br /> ''��"� -, , -,;M,inirrium tent(10)working;:days after submittal date. Required onsite,Construction Plans,Stormwate�Rlans w/Silt Fence installed;,, ,
<br /> _ � -�- �-Sanitary F.aciliUes 8�-1 dumpster;;Site Work,Femiit.fo�-�aII;newfprojeots.AlLcommerciaLre,quirements`.must,meet compliance.
<br /> `.SIGN�:PERMI'T �"`i4ttaoh(2)sets,of;EngineeFed;Plans:,��� - ' � ,,, - � ' - - „ `
<br /> ` � � ""'PROP,ERTI'.SURVEY,��eguired�foc:all;NEW..construatlon:� -� - _ . , � •
<br /> �Directions•- � '- - � y;� ;. _ ,', - -.4.. , , � _ �= , `, . _. ,
<br /> _ ,s;,. .._.,,.�.,.•;;: : �.�
<br /> -� _ �_Flll�ouf-"application.completely,, . ,. ;��� � „ . ::
<br /> ' - ' =0wne�8 Contractorsign:6ack of:applioation;notarized- � ' : - , r - ° -
<br /> . .F.. ..
<br /> �� � If'over$2500;'a Notice'of:Commencement is`require.d.,_'(A/C upgrades;:over$7500), - , -
<br /> �,�_�•• Agent•.(for:th'e�contractor)�or��Power•'of'Attomey;(for'tlie�owner)would�tie�someone�.with:notariied'lette��from•.ownerauthoriiing.same �
<br /> �r" O.VER:THE:COUNTER,PERMITTING;�._.;:� (copy of-conf'ract='re'qulred)``�: ". ' -_' - "- � ' - ` -
<br /> �'Reroofsif:shingles� ,>=�Sewe�s ����-•�•=�:SeniiceiUpgrad`es:A/G"_'- F,ences_(PIot/Suroey/Footage) '
<br /> ,- .� ; ; .,' : �: . ..`A _.:s._=..-,'..: _:�,..;,;•,;.;.,�..;::z=;� ..,;-:. ':.. ,..,: .. � , - -
<br /> ' _ Drlvevirays-Nofove�.Counterif.on:public,roadways._neeBs�ROW � , = -
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