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813-780-0020 City of Zephyrhills Permit Application Fax-813-780=0021
<br /> L � � Building Department
<br /> Date Received � l�• Phone Contact for Permitting �• -
<br /> Owner's Name Ja � � , Owner Phone Number .��1 � � '7�
<br /> Owner's Address �� � 11 v� � 11 '�{� Owner Phone Number
<br /> Fee Simple Titleholder Name ' Owner Phone Number
<br /> Fee Simple Titleholder Address �
<br /> t. �JOBADDRESS �� � �� � I1 ( �-a. LOT#
<br /> SUBDIVISION PARCEL-ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED . NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE Q SFR Q COMM 0 OTHER .
<br /> TYPE':OF CONSTRUCTION Q BLOCK �- Q FRAME 0 STEEL Q
<br /> .. .� - �
<br /> DESCRIPTION OF WORK � �� y � �'�" �' � ,-.�
<br /> BUILDING SIZE SQ FOOTAGE�� , HEIGHT •
<br /> OBUILDING $ VALUATION'OFTOTALCONSTRIJCTION
<br /> QELEC7'RICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �
<br /> i
<br /> OPLUMBING $
<br /> �ECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION
<br /> QGAS Q ROOFING � SPECIALTY � OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> BUILDER COMPANY
<br /> SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N
<br /> Address -License,# �,
<br /> 'ELECTRI,CIAN , COMPANY �
<br /> SIGNATURE REGISTERED Y/ N ��FEE CURRE� Y/N
<br /> ' Address License# �
<br /> F
<br /> P.LUMBER., COMPANY , _ �
<br /> -SIGNATURE �REGISTERED� Y,-/ N - ",FEE CURRE� � Y/N
<br /> ,_ Address ' L(cense#� :�
<br /> , MECH�itdICAL r.. ,� COMPANY � rY111-
<br /> SIGNATURE� ' " REGISTERED , Y/-N-. FEE CURRE� , Y/N
<br /> Add�e"ss�� � • '
<br /> w..;�•.. � ... ,
<br /> License# C e �
<br /> ,,.OTHER- "' , ' COMPANY
<br /> ;�"'SIGNATURE:;+ � • REGISTERED Y/ N. FEE CURREK Y/N
<br /> - _3 � ,
<br /> , Address;_ ��• - • License# �
<br /> +:-ti::�:-� •-
<br /> �;>RESIDENTIAL�;3�:.'.Attacti;;(2);Plot".P,lans�;,(2):s`efs''of�Building�Plans;�(1)`set"of�Energy'Forms;;R=O=W Permit,for new.construcdon,
<br /> • , ;-,�y���;,�;�:Minimum•;ten=(,1Q)working;days`afte�;su6mittal•date. 'Requi�ed�onsite;Gon`struction Plans,'Stormwater Plans w/Silt Fence installed,
<br /> .. ,. _ _ Sanitary;Facilities�&<<1,dumpster.•;,Site:Wor,k Permit�foc�,subdivisions/large;projects'- �-' ' - - - "
<br /> �.;;COMMERCIAL Attach�(2)'complefe'sets of"Building Plans plus a Life Safety Page;(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 Facilitles 81 dumpster.Site-Work Permit fo��all�new p�ojects.All commercial requirements must meet compliance
<br /> ;'::SIGN;PERMIT 'Attaoh"2"sets:._o.f;En ineered:Plans.��� ..
<br /> � ) � 9
<br /> �'�`--;` "'""PROPERTY SURVEY r... uired for all NEW construcUon..
<br /> _ . .�.. .e4. .
<br /> �,,.
<br /> ;�Directions: ,.:.._._ , , .
<br /> "� Fill:outapplicationcompletely.
<br /> � �O.wner:8 Contractor sign back of application,notarized
<br /> .:�� If over$2500;a Notice.of Commencement i�required. (A/C upgrades over$7500)
<br /> .f�; NS�.: .n .
<br /> - AgenY(fo�'th'e�cont�actor)�or�Powerof'Attomey(for'tFie owner)would tie someone with notarized letter from owner authorizing same
<br /> �:=`OVER`;THE COUNTER�PERMITTING. (copy.of-contract-requ(red) ' -
<br /> �'Reroofs if sfiingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage)
<br /> : Drtveways-Not over Counter if on public'roadways..needs ROW
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