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813-780-0020 City of Zephyrhills Permit Application `��5�� Fax-813-780-0021
<br /> • Building Department
<br /> � —•' ;
<br /> Date Received Phone Contact for Permlttin � � 1 � � — J��J
<br /> 9:<,
<br /> Owner's Name � F�}� 'PJ� �r)PJJ � (���/ �`� �' Owner Phone Number , ��� ( � `► -'��3
<br /> � ,
<br /> Owner's Address ���p finLi-�� Owner Phone Number ���J - ` �`�- a 5
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS 3��a I 5� LOT# �
<br /> SUBDIVISION PARCEL ID# ������• `' �(�� � ��J�' ��c3 0
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED B .. NEW CONSTR B ADD7ALT Q SIGN Q Q DEMOLISH
<br /> INSTALL ' REPAIR
<br /> PROP..OSED USE Q SFR Q CONIIVI 0 OTHER :
<br /> TYPE'OF CONSTR'IJCTION Q BLOCK • Q FRAME � ST,EEL Q
<br /> ` DESCRIPTION"OF WORK 'T `�-�'+� ��W�7 ` /
<br /> BUILDING SIZE � p��p S- , SQ FOOTAGE�� HEIGHT •
<br /> ,s-�
<br /> QBUILDING $ VALUATION-OF TOTAL CONSTRUCTION
<br /> �:QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $ �`!�
<br /> � lY
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> Q,GAS Q ROOFING Q SPECIALTY 0 OTHER � ��
<br /> �
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
<br /> -BUILDER �,,, / COM PANY
<br /> SIGNATURE � �" "V 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 /> PLUMBER.;., COMPANY • '�
<br /> ::,,,.....
<br /> SIGNATURE REGISTERED Y•/ N'� ' FEE CURRE� Y/N
<br /> Address License#- : �
<br /> • .MECHi4NICAl: � COMPANY -
<br /> "" SIGNATURE�' ' ` REGISTERED , ' Y/ N , FEE CURRE� . Y/N
<br /> Add're'ssS� - '• ' � - License.#
<br /> �;tkfi.� i .,.. , . , .
<br /> :' OTHER` �:;��- � � � � COMPANY
<br /> �::'SIGNATURE:��,=tS ,^ - • • � REGISTERED Y/ N FEE CURREK Y/N
<br /> ,. zr ;t ., ., , .. . . _ _ . . .
<br /> ` •Address:. , - - - �.�;- . .ry . License#
<br /> =='RESIDENTIAI:;:` =Attacli�(2f'PIot:Plan's;'(2)�sefs�ofBuilding�Plans;(1•)°setof=Energy'Forms;.R`0=W Permit.fornew.construcGon,� ' �
<br /> - ., �-�,==..s. �:-,Minimum�,ten;(;10),wor,king,.days:after:sutimittaGdate.:Req'uired�orisite;Gonstri7ction Plans,`Storinwater Plans w/Silt Fence installed,
<br /> .._.<:.,.,.�,,-... .b .,,s..;::.... . .
<br /> � Sanifary�F'acilities�8��;lsdumpster;.Site;_Wor,k,P.ermit for:,subdivisions/large`projects - ` �°•
<br /> �:.COMMERCIAL Attacii(2)'complefe'sets of'Building Plans plus a`L'ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new wnstrucdon.
<br /> ���` . Minimnm fen(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> - Sanitary Facilities 81 dumpster.Site Work Permit fo��all new piojects.All commercial requirements.must meet compliance
<br /> � -SIGN�PERMIT 'AtNach�(2)sets:qf;Eng�nee�ed:Plans:;��� - ; �.- - - � "
<br /> ;��'�' *•**PROPERTY SURVEY reguired for,all,NEW construction:-
<br /> ,::, _..._ . . _
<br /> ;;Directioris: r:;�s.-_ _., , _
<br /> ' � Fillroutappiication completely.
<br /> Owne'r&,Contractor sigR.back of application,notarized
<br /> ' �If over$2500,a Notibe:of Commencement is required. (A/C upgrades over$7500) ,
<br /> �';'_:. AgenY(for'tFi'e'contractor)•or`Power'of'Attomey"(foY'ttie oiivne�)would�tie someone with notarized letter from owner authorizing same
<br /> �OVER.THE COUNTER;PERMi]TING. (copy_of-contrac4required)- � '
<br /> �::�Re�oofs if sfiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> �. Driveways-Not over Counter iYon public'roadways..needs ROW II
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