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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> •• Building Department
<br /> +-., ,
<br /> Date Received ' /� phone Contact for Permitting � �J So2 S� — �%��
<br /> Owner's idame e� ��. �iG,.� Owner Phone Number ��� • 7 ��
<br /> Owrner's Address � Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> � Q
<br /> JOB�4DDRESS �� 7 / (' c- LOT#
<br /> SUBDIVISIOPI � �,��.G�� PARCEL ID# c]���� / ) 06(� � �
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED B ,. NEw CONSTR e ADD/ALT 0 SIGN Q Q DEAAOLISH �
<br /> INSTALL REPAIR
<br /> PROP.,OSED USE Q SFR Q COMM � OTHER � .a
<br /> TYPE'OF CONSTRUCTION Q BLOCK •- Q FRAME 0 STEEL Q
<br /> DESCRIPTION OF WORK gL/��G � � /%�� �.����� -��—
<br /> BUILDING SIZE SQ FOOTAGE�' HEIGHT � a o ����� � �.
<br /> QBUILDING $ VALUATION'OF TOTAL CONSTRf1CTION
<br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
<br /> OPLUMBING $ � ,c�,�A.
<br /> I /�- vi% `�
<br /> MECHANICAL $� VALUATION OF MECHANICAL INSTALLATION .�!T 1 �
<br /> O �• l I
<br /> �GAS Q ROOFING Q SPECIALTY � OTHER J(n�� �
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO + ,�/
<br /> B!!lLDER COnAPANY
<br /> SIGiVATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License#
<br /> ELECTRICIAN COAA PANY
<br /> SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N.
<br /> Addr�ss License# 3
<br /> , ..�
<br /> PLUMBER.,. COMPANY
<br /> 'SIGNAT.URE REGISTERED Y/ N� FEE CURRE� Y/N
<br /> Address � License#
<br /> ' , , )
<br /> _ .MECHAMICAL �� �� COMPANY (� 1iS �7" . C� C
<br /> SIGNA'PURE' � �LI�Ki(/t� REGISTERED Y N FEE CURRE� Y
<br /> �aa�ess- / =� " � ) � L-icense.# (, �
<br /> ,��4� , . ._.. . , - . . .
<br /> : OTHER:�,';:;, � COM,P..AIdY
<br /> �'�SIGNATURE-'r• .� - • - REGISTERED Y/ N. FEE CURREK Y./N ,
<br /> - Address�.,.` - ' � ' ' License#
<br /> f-`RESIDENTIAL:;:.: Attach`(2)`Plof'P.lans;'(2):sefsof�Building,�Plans;(1•)'set of`Energy'Forms;R;O-VV Permit,for new.construction,...,
<br /> _ _;;;r:,� :-:--:Minimum:ten.(;10)�wo,rking;days'.aftei�subinittal�iiate."Required�onsite;Construction Plans,Stormwater Plans,w/Silt Pence.installeii,
<br /> � '"""� �i� Sanitary.Facillties.&;1�du'mpster;Sife:Wo[k Permit for.subdivlsions/large'.p�ojeets`.. ' �'
<br /> ��_COMMERCIAL Attach'(2).complete"seYs of:Building.Plans plusa L'ife Safery.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 wl Silt Fence installed, , _
<br /> � Sanitary Facilities 8�1 dumpster.,Site Work Permit fo�-all-new;projects.All.commercial requirements.must meet compliance ,
<br /> `SIGN PERfNIT Atfach(2)sets of_Epgineered Plans.�� ' , - , ��
<br /> , � ' '"""PROPERTY SURyEY;requi.red for.alf.NEW..construction:• _
<br /> �,•Directlons:.,, . .,. � , � , ,
<br /> - FilP:out application completely., _
<br /> .'_ . Owner 8•Contractor sign.back of application,_notarized ,
<br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
<br /> Agent(forthe contractor)'orPower of Attomey(fo�"the owner)would tie someone with notarized letter from:owner authorizing same
<br /> � .OVER.THE.COUNTER PERMITTING.� �(copy of contract-required) � ` ""
<br /> Reroofs if shingles Sewers Service,Upgrades A/C' Fe,nces(PIoUSurvey/Footage)
<br /> . .,- . •-� --. - � � " ,
<br /> ,:Driveways-Not over Counter if:on public roaiiways.:needs'ROW
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