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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> • Building Department
<br /> Date Received
<br /> �Phone ContactforPermitting � —
<br /> . `. �---- � `
<br /> Owner's Name ./: /✓ Owner Phone Number O,�.S'� �2—��l�
<br /> Owner's Address O 3 -� '�` �� ' Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS � _ � � LOT# �
<br /> SUBDIVISION PARCEL ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROPOSED B .. NEW CONSTR e ADD%ALT � SIGN Q Q DEMOLISH
<br /> INSTALL REPi41R
<br /> PROP.,OSED USE Q SFR Q COiNM � OTHER .
<br /> TYPE'.OF CONSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q
<br /> DESCRIPTION OF WORK �� ( �r� � G � ��'� �GGV�
<br /> BUILDING SIZE SQ FOOTAGE�� c HEIGHT •
<br /> QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION
<br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ /�
<br /> �� �� 2-��
<br /> QMECHANICAL $ sY-� O'd-o VALUATION OF MECHANICAL INSTALLATION
<br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER /���
<br /> � �E
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �/h/�p
<br /> �/l C7
<br /> �BUILDER COM PANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address � Cicense#
<br /> 'ELEC,TRI,CIAN COM PANY
<br /> . SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address � License# `
<br /> �.
<br /> P.LUMBER.,_ COMPANY- '
<br /> ��;
<br /> 'SIGNATURE _ REGISTERED Y:/ N� � ,FEE CURRE� Y/N
<br /> . Address � License# .
<br /> MECHi41VICAL � -r/'��//�, ` — COMP.ANY 1�^� $�-' C�-�" �� �
<br /> SIGNATURE`' ��� C�'" ,C/�---"" REGISTERED - Y/ N . FEE CURRE� Y/N � -
<br /> ,. .,, � _
<br /> Aiidre'ss��' � ' License.# �CJ �
<br /> ��:, .,, . _ .
<br /> OTHER° ,"'' _ � COMPANY -
<br /> `SIGNATURE.i, ;= RE�ISrERe� Y/.N FEE CURREK Y/N
<br /> Address�r�:. ^•�, � License#
<br /> , '_,,;_; -' '
<br /> :�'RESIDENTIAL,��:.'Attacfi�;(2);PIot:P.lans'(2)ssetis�of'Building�Plans;(1-)�setof Energy'Forms;RY0-V11 Peiriiit,for new.construction, �
<br /> � � ;;��;,:�: - -:.Minimum�ten�(,10)working,days afte�;§ubmittal•'dafe. Requ(red onsite;Constriiction Plans,'StoRnwater Plans w/Silt Fence installed,
<br /> �.°;,i-., f.., ., .,:>.�•., •.: . . . .
<br /> _ Sanita,.ry,,Facilities,&:;1�,dumpster Sife,Work Permit for,subdi'visionsflarge'projecfs °
<br /> �=:COMMERCIAL Attach�'(2)�co"mplete sets of'Building Plans�plus a�Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> - Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilitles 8�1 dumpster.,Site Work Permit fo�`all new projects.All commercial requirements,must meet compliance
<br /> ���"-SIGN�PERMIT �Attach(2jsets�.o,f;Engineered�P.lans.�r� -
<br /> """"PROPERTY SURVEY required for aII,NEW constructlon... � ,
<br /> ;r � . _
<br /> .F_ -
<br /> -:;Directioris: . . _._ . �, ,-
<br /> �'� E116:out applicatlon completely.
<br /> O.wne�:&Contraotor slgn 6ack of appflcation,notarized
<br /> If over:$2500,a Notice.of Commencement is required. (AIC upgrades over$7500)
<br /> *'�"' Qgent(for�tfie`•cont�actor)•orPower'of Attomey(for Uie owne�)would tie someone with notarized letter from owner authorizing same
<br /> ;�OVER�.THE:COUNTER_P.;ERMITTING., (copy_of contract-required) ' � - �
<br /> ;. =Reroofs:if shingles Sewers Servlce Upgrades A/C Fences(PIot/Survey/Footage)
<br /> � Driveways-Not over Counter if on public`roadways..needs ROW
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