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813-780-0020 City af Zephyrhills Permit Application Fax 813-780-0021
<br /> - , � Bultding Qepartment
<br /> Date Received . p�oR�,Canfact for.�Rarintttin � �
<br /> Owner's Name `!� '_ �` Owner Phone Number
<br /> Owner's Address , � �� ��- �� '�� Owner Phone Number � �
<br /> Fee Simple Titleholder Name , � Owner Phane Number �- �
<br /> s `
<br /> Fee Simple Tltleholder Address -
<br /> J08 ADDitESS � ���� �-- � � �" ��' LOT# C�
<br /> StJBDiVIS10N PARCEL.tD# �
<br /> (08TAINEO FROM PROPERTY.TAX NOTICE)
<br /> WORiC FI20POSED : NEw CONSTtt ADDIAIT � SIGN� [� Q DEMOi:lSH
<br /> ,e. INSTALL � REPAIR '
<br /> PROPQSED�USE Q 5FR Q GOMM � -OTHER '
<br /> TYPE OF COtdSTRUCTION Q BI.00K ' [� FRAME [^] STEEL Q
<br /> DESGRIPII�N OF WORK - � f d h"� C� � �'^' �
<br /> Btl1LDING StZE �_ ��S{1�FOOi"AGE H�IGHT��-______� _
<br /> , , ,
<br /> �BUtt.DING ���� 'VAlUAT7�N`.OF�TOl"fil CONSI'RUC'i'ION �
<br /> QELECTRICAL � � AMP SERtIICE � Q PROGFtESS EPIERGY �'W.R.E.C.
<br /> QPLUMBING ,:.($ �� _ ^,�
<br /> �—.. ``l7
<br /> QMEGNANICAL $ d`t� Vi0.LUATtON OF,MECNANtCAt INSTALL-ATION
<br /> ��d- '
<br /> QGAS C] RGlOPING .Q SPECIA�TI � QTHER �
<br /> FiNISHED FLQOR ELEVATIQNS ��� FLOOD ZONE AREA [�YEB. ,fVO
<br /> BUi�DER COMPANY`
<br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Addrass Ltcense# � � �
<br /> E�ECTRICIAN; - COMPANY ' - - �
<br /> SIGNATURE � REGI5TERED Y/ N FEE CURRE� ' �Y/N
<br /> � �'`�
<br /> Addre�s . . , E.icense# ( �
<br /> PLUMBER . COMI�ANY �
<br /> SIGNATURE` � 1 REC318TERED Y./,.N.: FEE CUFtRE� Y/N - '
<br /> Address _;Lit�nse# � -��
<br /> MECHAMlCAL`" � GOMPANIf. /-' � d`'S ��-�s.r �i
<br /> SiGNATURE� - " "'�`���"�'�- � REGISTERED ,1 Y/ N . � FEE CURRE� . Y,/tN
<br /> Addres"s•' - ' . ` , .'�_ License# ��j�c�y �
<br /> OTNHR : � = ;CQMP11Nlt,
<br /> S�GNATURE - ` � �� � ' ' r � ' REGISTERED ' Y/ N..., � FEE CURFtE� Y/N
<br /> At�d�s�" . ,�i,_. .. } � , .. . . _ � ' liceiise#�� � , �
<br /> RESIDENTiAL:,�;, �Attac#i'{2}nPtot P,laris,�:{2}set"s:.of Biittdirig'�i?laas;{'1)�sef oE Energy'�Fonns;��R-0=W�P'emitt far new canstructibn, . "
<br /> •�;, r,;:�,:Minimum;tem.(:1.Oj wortcing}days,aRer subrinittal�date:�_Rei�uir"ed ons(te,.ConsfrucBon=Rlans;�Stormwafer'Plans w7 Siit Fence instalied,
<br /> '� � Sanifary Facllt8es,&:1..dumpster�Site Worlr,Permit for subdiVislo,ns/large:pro]ects. - : � -
<br /> - GOMMERC1A�t. Attach{3)�corstiplete sets"tif 8uitillrig Rlans'p16s a'I.ife Safety Page;{'1}set af Energy Fatms.R C!-W Permit for new canstrructEon. - -- _ . _ -1
<br /> Mintmum ten(10)working days after submittai date. Required onsite,Canstruckian Plans,Stomnwater Plans w/Siit Fence Instailed, �
<br /> Sanitary Facllitles 8 1 dumpster.Site Work Permit for all new.�proJects.All commercfal requlrements.must meet compllance
<br /> S1GN PERNfIT Attac�r{2)sefs af Englneefed:,Plans:,.,:.,,.; ` v , , - "
<br /> •""•PROPERTY SURVEY required for all NEW_construction.. _ . - _
<br /> D}rscttoas: � „ _ , . .
<br /> Fill out applicatlon completely.
<br /> Owner 8 Contractor sign back of appllcattan,natadzed '�
<br /> If over�2504,a Natice of Comm�ncament Is rsquired. {�JC upgrades cver$T500) ,
<br /> " Agent(for tfie co'nUactMr)or"PoVver of�ttdiney�(for ttie owner)would be someone with notarized letter from owner authorizing same
<br /> aVER 7H8 CdUNTER PERMt1TtFIG - {Front af�Applicatlon Only} -� �
<br /> Reroofs If shingles Sewers Service Upgradas A/C Fances(PlodSurvey/Footage) . .
<br /> . �.. _. .
<br /> Drivsways-Not over Caunter if an pubytc roadways._needs ROW_ _... ,._� .... .. .._ ,v ...:..,:,,,z.-;;,�:.>.� ... ...:-�
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