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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> - Building Department
<br /> �: -
<br /> Date Recelved �.Phone Contact for Permittin -
<br /> 9 -`
<br /> Owner's Name �{V /u�l�Ca/�� ' Owner Phone Number
<br /> Owner's Address � �/ I�C � Owner Phone Number
<br /> Fee Slmple°Titleholder Name Owner Phone Number
<br />' Fee Simple Titleholder Address I
<br /> JOB ADDRESS ��� �� / //vG-'�"- !�• LOT# �
<br /> SUBDIVISION PARCEL ID# � 3 �.�` - ���� �d D S���- (�01�• ,
<br /> (OBTAItdED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e ,. NEW CONSTR 8 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 /> 1 -/ ,,/ l L/
<br /> DESCRIPTION"OF WORK -' ��y IA/iZ� � �)/�'ll N�/G�/V�L S/�/!vG`GG
<br /> BUIL"DING 51ZE SQ FOOTAGE�• HEIGHT •
<br /> QBUILDING $ �'
<br /> �G�D D VALUATION'OF TOTAL CONSTRUCTION I
<br /> .:QELECTRICAL $- AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> QPLUMBING $
<br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �C�� ��
<br /> QGAS ROOFING Q SPECIALTY Q 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 /> ELEC,TRI,CIAN COM PANY
<br />' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N_
<br /> � Address - License# �
<br /> � ,,.�. >
<br /> PLUMBER.,. COMPANY •
<br /> -'SIGNATURE >REGISTERED , Y•/ N. ' FEE CURREA Y/N
<br /> , Address Lfcense#� �
<br />� , ,-,
<br /> -.MECHANICAL � COMPANY
<br /> '' .SIGNATURE'' ' REGISTERED ; Y/ N FEE CURRE� Y/N ' - �
<br />, Add�e'ss�� - �� ' License.#
<br /> ;+;�ia:, + ,_ .
<br /> ..,OTHER:;..°.--.: � ` !�!� O��l/1���
<br /> "' C,OMPAfdY h-r�} ,�.
<br /> `,'�SIGNA7'URE;>>. �_� :��' " - REGISTERED Y/.N FEE CURREK , Y/N
<br /> •Address.: � :-/���I.�C:k-�:J- �;� ' L C j7! ' ` License# G�D y���
<br /> ,-. ;.. .. ,, . . ,
<br /> A�_�� At •`'• � J
<br /> ,,�.RESIDEN7'IAU�;��;Attacti,�2":Plot'Plans;''(2):`sets�of�Buildirig�Plans;(1)�sef of�Energy;Forms;R-O;VU.Permit for new.construction,
<br /> ;";;'�:i';_�`,:;�•;;;Minimum:tern�(t10).working;days afte�_submittal�date::Required'orisite;ton`s`tniction Plans,-StoRnwater Plans w/Silt Fence installed,
<br /> :: Sanitary,•;Facilities,&,1�;dumpster_Site:WorirPermitfoc:subdivisionsAarge'p�ojects'_ '° �`` -
<br /> �...,;d ,_,.
<br /> ��`COMMERCIi4L Attach'(2)�coriiplete'sets of'Building`Plans plus aYLife Safery Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. - -
<br /> __ _ Minimum 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 projects.All commercial requirements.must meet compliance
<br /> :.SIGN=PERMIT "AttaoFi(2)"sets•:of,Engineered'Plans:�r.� •=-__ . -
<br /> ,:•.<:•
<br /> ;:;:,,,,_ "'""PROPERTY SGRVEY required for„aII,NEW construction. , ,
<br /> :,Directtoris: .s�:,__. . ,: .., .
<br /> - � fill out:application com,pletely.
<br />, , Owner`&ConVactor sign.back of applicaUon,notarized
<br /> ;,� "If over'$2500;a Notice:of Commencement-is required. (A!C upgrades over$7500)
<br />� �:'"_� Agent(fo'r tlie•con�traotor)•or°Power�ofAttomey(fortFie'owner)would tie someone with notarized letter from owner authorizing�same -� -
<br /> I �;;,OVER':THE COUNTER�PERMITTING. ... .(copy,of-contract-required) �' ' �� - - � � �' ` ' , �
<br /> ':;�Beroofs•if shingles Setniers Service Upgrades A/C Fences(PIoUSurvey/Footage) � � ' , �, �,
<br /> ,. ��-.�.,> -�� � .• ,
<br /> ,,, " Driveways-Not over.Counter if on public'roadways::needs ROW � , _,� , _,,,.,.„:.,,. �._-, , • �
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