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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> � Building Department
<br /> Date Recelved ZG ��• Phone Contact for Permitting � —
<br /> Owner's Name [/ov: 1- � ,dc�- St�v �,J Owrner Phone Number ��/3 ZDf• �yJ
<br /> Owner's Address 3 ,� S /yj Ge o � l9� Owner Phone Number / i 79 • 9�J
<br /> FeeSimple�TitleholderName STf s-,� ✓J_. , ST�.�� OwnerPhoneNumber
<br /> FeeSimpleTitleholderAddress , �SJ�j N�i�Pe�w,�at L�•
<br /> JOB ADDRESS �SS ��a/f L�,s LOT# �
<br /> SUBDIVISION 1�.C,�.�� ,�,� .ro - PARCEL ID#
<br /> (08TAINED FROM PROPERTY TAX NOTICE) �
<br /> WORK PROPOSED .. NEW CONSTR ADD7ALT � SIGN Q � Q DEMOLISH
<br /> e INSTALL B REPAIR ,
<br /> PROP..OSED USE Q SFR Q COMM 0 OTHER ' � �
<br /> TYPE'`OF CON$TRUCTION Q BLOCK • Q FRAME 0, ST.EEL Q
<br /> ._ �
<br /> DESCRIPTION OF WORK C�% i A ' 3��C �
<br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT •
<br /> OBUILDING $ / ��� � n VALUATION=OF TOTAL CONSTRUCTION
<br /> .-OELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> �.
<br /> QPLUMBING $
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> QGAS Q ROOFING. Q SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> -.BUILDER , COMPANY
<br /> 81GNATURE REGISTERED Y�/ N FEE CURRE� Y 7 N
<br /> Address 3 S'Sks iy,-r�s/ U,,o.� L�o • "License# �
<br /> � 'ELECTRI,CIAN , COMPANY
<br /> �. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
<br /> , AcJdress - License.# �
<br /> . . 5' COM PANY .
<br /> P.LUMBER.,: .
<br /> -SIGNATURE ttE�tsTetteo Y•/`N� ` FEE CURRE� � Y/N
<br /> Address � License# :
<br /> . . ��< . , _
<br /> MECHANICAI: � _ COAAPANY_ �
<br /> " 'SIGNATURE�`° � � ` REGISTERED , Y/ N FEE CURRE� Y/N ' .
<br /> Add�e`ssL�' " " � ' License.#
<br /> �*;;i�,�,a• ,.,. � ,
<br /> : OTHER` :-''.� ' " C,OMPANY
<br /> ��'SIGNATURE:i�.-vz .° - - REGISTERED Y/.N FEECURREK . Y/N
<br /> i:;}.`:_.�?:,>. . . , . .
<br /> �Address=;; .,.. =Y`�, ._ - - � License#
<br /> �;�,..: _.; �
<br /> �'i�RESIDENTIi4L�A,;, :Attacli;(2)''PIot;Plans;='(2�)4sets�ofBuilding�Plans;T(1-)`setofEne.rgy,FoRnsR=Q=T(VPermitfornew.construction, +
<br /> ��;�, ., -;-•;�;:;^r;y.n 4�:-_;Minimum_,ten,(!1Q)working;.days':afte�sutimittal:date. "Required`onsite;ConstrucUon Plans,'Sformwater Plans w/Silt Fence installed,
<br /> " �` Sanitary�;Facilities8l;dumpster;�Site�Wor.lePerrtiitforsubdivisions/large:projects` �-' -
<br /> '�COMMERCIAI. Attach�(2j complete;set§'of'Building�Plans plus a L'ife 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 Facflitfes 8�1 dumpster,_Site,Work,Permiffo��all-new.p�ojects.All commercial requirements must meet compliance �
<br /> �;`.'SIGN:PERMIT `A�ttaoFi-(2)sets:of,Engineeced�Flans.�s� �: � � '
<br /> �- - ""*PROPERTY SURVEY reguired for.all.NEW.construction.
<br /> ;:Directlons: ,a�• .. .-.a - -
<br /> �Ffll:outapplication completely.
<br /> � � � Owner&Contractor sigrt:back of application,notarized
<br /> , �IYoYer,$2500;a Notice of'Commencement.is required. (AIC upgrades over$7500) _
<br /> „:
<br /> ,;`'"_' Agent'(forth'e�confractoF)`or�Power of'Attomey(for the owner)would tie someone with notarized letter from owner authorizing same
<br /> ',;,.OVER.�HE COUNTER;PERMITTWG (copy of-contract<required) ' �' ' �' �
<br /> ':'Re�oofs.if�shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) . _
<br /> Driveways-Not over Counter if on public`roadways..needs ROW �
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