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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> ' �' ` ' � Building Department
<br /> Date Received
<br /> Phone Contact for Permitting �� —.
<br /> Owner's Mame , ) �� � �y� f i �
<br /> �-% Owner Phone Mumber
<br /> Owner's Address � �� �r G Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address '
<br /> JOB ADDRESS I� ; 1.�.� � LOT# �
<br /> SUBDIVISION PARCEL ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROPOSED e . NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
<br /> INSTALL REPi41R
<br /> PROPOSED'USE Q SFR Q COMM 0 OTHER _
<br /> TYPE':OF CONSTRUCTION Q BLOCK �• Q FRAME. Q STEEL Q -
<br /> , ;�
<br /> DESCRIPTION OF WORK L i-� �Q � �Q.y� ��� � '�'
<br /> BUILDING SIZE � SQ FOOTAGE�� , HEIGHT •
<br /> QBUILDING , $ VALUATION'OF TOTAL CONSTROCTION
<br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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<br />� QPLUMBING $
<br /> �AAECHANICAL $ �/. `� VALUATION OF MECHANICAL INSTALLATION �
<br /> �_r v
<br /> QGAS Q ROOFING Q SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br />' BUILDER COMPANY
<br /> SIGMATURE REGISTERED Y�/ N FEE CURRE� Y/N
<br /> Address �Cicense#
<br /> 'ELECTRICI,AN COMPANY '
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. I
<br /> Address License# � �
<br /> 'iF.i .
<br /> PLUMBER..,: COMPANY
<br /> SIGNATURE, REGISTERED - Y.-/, N �` ', FEE CURRE� � Y/N
<br /> Address ,� License# .C � �p
<br /> -'.MECHANICAL � COMPANY •• v�
<br /> ' �SIGNATURE'` � - REGISTERED ; -Y/ N. ; FEE:CURRE�� r .' Y/N
<br /> , ',
<br /> Add'r`ess-� � -' Llcens.e.#
<br /> ;�;�, : :,
<br /> ,_ OTHER• "�� C_OMPANY
<br /> :SIGNATURE;;>s :• . ' - REGISTERED Y/ N FEE CURREK -Y/N
<br /> ;a . . . .. - . ' .
<br /> � , Address;;. _�;.� `:�.�- . .�=': � � � License#
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<br /> �-.�RESIDENTIAL•*_r;--Attacli;,(2):s'Plof`P.l'ans;`'(2�)ssefs�of'Building-�Plans;(1)`setof�Energy:For'ms;R=O-VV.Permitfornew.constiuction,
<br /> -���3.F:,.,-.::,�-„Minimum„ten;(,10):wo.rking;day'S afteF;'sutimittal•date.�Requireii`onsite;`Con§triiction Plans;'.Sto[mwater Plans w/Silt Fence installed,
<br /> Y-_•. � Sanita..ry,,Facilities;&;,1•,dumpster.•;,Site:Wo[k Permit-forsubdi'vision§Aarge:p�ojects': _ - -
<br /> }�;cCOMMERCIAL Attach`2�com lete"sets`of'Buildiri Plans''lus a Life Safe Pa e; 1 set of Ener Forms.R-O-W Permit for new construction.
<br /> � ) P 9 P tY 9 � ) 9Y
<br /> Minimum ten(10)working days after sUbmittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
<br /> :�``�`�-� Santtary Facilities�8�1 dumpster.Site INork Permit fo��all•new pro ects.All commercial re wrements must meet com liance
<br /> �;�`:SIGN�PERMIT �Atta`cFi"(2jsetsof;Engineered_Plans.�r • • � , � , Q p
<br /> - '" "`•PROPERTY SURVEY required for aII,NEW.construcUon. , '
<br /> J:'Dtre�'ttons: -��; . ...
<br /> °� Ffll'°out application completely.
<br /> - Qwner,:8rConVaotor sign.back of appl(cation,notarized
<br /> r': If over$2500;a Notice.of Commencement is requlrad.. (A/C upgrades over$7500)
<br /> • �...:.,
<br /> -" Agent'(for th'e�cont�actor)�or�Power of,Attomey.(for'tlie owner)would be someone with notarized letter from owner authorizing same; .
<br /> ;;OVER.THE COUNTER PERMI'RING.. �.�,_. (c;opy.of:contract-required) � � ., , , � , '
<br /> ,��Reroofs if shirigles Sewers Service Upgrades AlC,"' Fences(Plot/Survey/Footage) � � • „ .�� � , ,
<br /> _ Driveways-Not over Counter if on public°roadways:.needs�ROW `� ' ��--� �. �_ � �
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