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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> „ Building Department
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<br /> Date Recelved ..: P.,hone�Contact for�Perm(ttln � �� Z •
<br /> Owner's Name � �� Owner Phone Number
<br /> Owner's Addre�s . � • Owner Phone Number. �
<br /> Fee Simple Tltleholder.Name � Owiner Phone Number '
<br /> I Fee Simple Titleholdec Addeess •
<br /> JOB ADDItESS � 7 - Gv P� ' LOT# �
<br /> SUBDIVISION , ` PARCEL ID# � � "
<br /> , - (OBTAINEDFROM.PROPERTYTAXNOTICE)
<br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN` "Q � Q DEMOLISH
<br /> �B. INSTALL e . REPAIR .
<br /> PROPOSED�USE Q SFR Q 'COMM • Q -OTHER � '` � '
<br /> TYPE OF CONSTRUCTION Q '�BLOCK " Q FRAME � �Q 'STEEL �Q ` _
<br /> , ,
<br /> DESCRIPTION OF WORK �i� � -
<br /> �UILDING SIZE - ' �"SQ�FQOTAGE ` ' ,HEIGHT �
<br /> QBUILDING , $ , YALUATIOfVYOF�T01'AL CONSTRUCI`ION '- - - � �
<br /> ��CTRIGAL $ �v� .� , AMP SERVICE 'Q PROGRESS ENERGY Q W;R.E.C. ,�
<br /> QPLUMBING �$ ' � ;? ,"1
<br /> � �v
<br /> QMECHANICAL �$ VALUATION OF;MECHANICAL INSTALLATION � � C �
<br /> QGAS Q ROOFWG ,Q SPECIALTY � OTHER �
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. ,NO
<br /> �l�ILDEFt COMPANY", . , . _ � . : �
<br /> SIGNATURE REGISTERED Y/ N 'FEE CURREA Y'/'N`" " ,
<br /> Address - �ticense#
<br /> ELECTRICIAPI: _ _ - . ,-COMPANY �IP.C/ 5�'fC61�^ d(J ' �t►f1 A �Lt
<br /> SIGNATURE �' REGISTERED Y/ N FEE-CURRE�s� � Y 6 N
<br /> Address " . : ' - , . . _ L(cense#: �-� G�
<br /> . �- - C C��
<br /> PLUMBER. - COMPANY . . .:�
<br /> SIGNATURE' ' , ��is.TERE��_ Y.L-.N,: '..-,�FEE CURRE� Y.-/N.. :i= , _, ��
<br /> Address �-License.# � � � ,
<br /> MECHAPIICAL' ' ' ' � ., . . �COAAPANY � " ' . . - , . . ' . � _
<br /> SIGNATURE �. , ,. k • , .. . ... . ,: ..,
<br /> REGI$TERED .,. Y/.N. , . ,� FEECURRE�:, Y./�N .
<br /> . ��. , � • -
<br /> Addre�s�'�- � � � � . .., � , • ` . ' Licens_e# ' � -
<br /> OTHER ;. � - -, � , � , . `;COMPi4NY '- . - _ '
<br /> SIGN�ITURE .. - '� "` �` ' � �REGISTERED ' Y/'N�..: ;`FEE CURRE� Y/N, ,
<br /> f- ._ •' +, "' ' - - . . - . .' . .
<br /> Addre�s _ -F�- _ �' . � ��: ' L`Icerise#� � >
<br /> . 4�...�,.,y: f•,. g:',�;�_:s.:i_ � �
<br /> RESIDEWTIAL;=:;Attach'*(2),;PIot�Plans;;(2)sets=of�BuildingtFlens;`(1)sefof'Energy>Forrns��R=0=V11�Perrnitfarnewconstruction, ' " �
<br /> . �. . ..,. -,,.:..:. �:,.�.. _:. ;, ._ .
<br /> � ,;;fNinimumften::(1.0)�working;days;afterrsubiriittal date:'i;Required onsife;;Con'strucUon-P-Ians;=Stormwater'Plans wl Silt''Fence`fnstalled, �
<br /> ,�_.., .�:., <n�.,,_
<br /> �SanifaryFac(IIUes;&=1;,dump§te_r,LLSite•Work,Permit,fo�,subdivisionsAarge,,pro)ects;;,.,;::,.�,�� ", . �_ � .�;',. " ' •
<br /> COMIMERCIAL Attach(3)�complete'sets ofBuilcling Plans'plus a Life'Sefefy Page;(1)set of Energy Forms.R-O-W Permit for new constniction.. - •
<br /> - - - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary FadliHes 8 1 dumpster.Site Work Permit for all new,�proJects..All commercial requl[ements.must meet compllance�� �
<br /> SIGN PERMIT AttacN'(2)sets�of Eng,i'neered�Plans.: �.�.. • .. .-
<br /> ,. , .. .
<br /> "'•PROPERTY SURVEY reguired for_all NE�'N constructlon. -
<br /> Dlrectlons: , � _ � - �
<br /> Fill out applicaUon completely.
<br /> Owner&Contractor sign back of appl(catlon,notarized
<br /> If over 5�500,a Notice of Commencement i�required. (A!C upgrades over$7500)
<br /> .. ••�":'+�r,_:.��:�" -
<br /> Agent(for the-contractor)or`Power of Attomey�(for Uie owner)would be someone with notarized letter irom owner authorizing same
<br /> DVER THE COUNTER.PERMITTING� (Front of�Application Only) - ' � - -
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)
<br /> Drivewaya-Not over Counter if on public roaduvays..needs ROW �
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