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813-780-Op20 City of Zephyrhills Permit Applicatian Fax-813-780-0021
<br /> Buiiding Department -
<br /> M M
<br /> Date ReceEved Phone Contact for Permitting —
<br /> Owner's Name J �-.. -{- �fV\ � }'� Qwner Phone Number
<br /> Owner's Address Owner Phone Number � � '
<br /> Fee Simple Titlehalder Name � � Owner Phone Number �^ �
<br /> Fee Simple Titleholder Address
<br /> JQB ADDRESS � � � � �� S � LOT# C_�
<br /> `,i
<br /> SUBDIVISION � � PARGEL ID#
<br /> i�
<br /> �� (OBTAINED FROM PROPERTY TAX N0710E)
<br /> +� WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLtSH
<br /> �� e INSTALL e REPAIR
<br /> ( PRQPOSED USE Q SFR Q COiVIIUI 0 OTHER �t' �
<br /> �� TYFE OF CONS7RUCTION Q BLpCK Q FRAME � STEEL Q
<br /> ��
<br /> F�
<br /> [� DESCRIPTION OF WORK 'e i T ��� ��"""
<br /> �� � �� SQ FQOTAGE[____� HEIGHT C.��
<br /> �� BUILDING SIZE
<br /> �
<br /> � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
<br /> I�
<br /> �� QELECTRICAL $ �a^ AMP SERVICE [� PROGRESS ENERGY [� W.R.E.C.•
<br /> � �J � � (� e.7
<br /> i� OPLUMBING $
<br /> �
<br /> r
<br /> � QMECHANtCAL $ � VALUA7ION OF MECHANICAL tNSTALLATION
<br /> �r
<br /> :x
<br /> � QGAS Q ROOFiNG Q SPECIALTY 0 OTHER
<br /> ' FINISHED FLOQR EL�VA7IQNS �� � FL04D ZONE AREA DYES NO
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<br /> � BUILDER COMPANY
<br /> � StGNATURE REGlSTERED Y/ N FEE CURREI� Y/N
<br /> � Address License# �_ �
<br /> � ELECTRICIAN COMPANY �S� t � � � �
<br /> �� C @ f`�! �.�i° �
<br /> SIGNATURE REGISTERED Y/ N �EE CURRE� Y/N
<br /> Address 1��e 1 m t,� la �c�-� ���� License# ��1 3 n�0 3'�`� ��
<br /> �
<br /> PI.UMBER COMPANY
<br /> � SIGIVATl1RE REGISTERED Y/ N FEE CURRE� Y/N
<br /> iAddr�ss License# _ �
<br /> � MECHANICAL COMPANY
<br /> SIK'aNATURE REGISTERED Y! N FEE CURREt� Y/N
<br /> , Address License# r^ I
<br /> ' OTMER COMPANY
<br /> � SIGNATURE REGlSTERED Y/ N FEE CURREh Y/N
<br /> ' License# �� �
<br /> Address
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<br /> j RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
<br /> � Minimum ten(9Q)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed,
<br /> � Sanifary Faeitities&1 dumpster;Site 1Nork Pem�it for subdivisionstlarge prajects
<br /> ' C4MMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> Minimum ten{14}working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed,
<br /> ` Sanifary Faciti#ies&1 dumpster.Site Work Permit for aEl new projects.Alt cammercia[requireinents must meet campHance
<br /> 31GN PERMIT Attach(2)sets of Engineered Plans. �
<br /> '***PROPERTY SURVEY required for ali RSEW construction.
<br /> Directions:
<br /> Fiil aut applicabon corr�pletely.
<br /> Owner&Cantractor sign back of apptication,notarized
<br /> If over$2500,a Notice of Cammencement is required. (A/C upgrades over$T500)
<br /> '* Agent(far fhe contrac#or}or Power of Attomey{for the awner}would be someone with notarized tetter fram owner authorixing same
<br /> OVER THE COUNTER PERMITTING (copy of contract required)
<br /> Reroofs if shingtes 8ewers Service Upgrades. AlG .�_Fences-{PIotJSunreylFoofage} .�.:,�,:�,.,,;,,�,.:.,;,.,-.��.���..����.-.._..,x . .:.. .. ,.. ,
<br /> i�"`.,n:.,.._'_�...,..:.�,'�.-�;'„t,ti...zJ' .Q`i��', �" .I' , ?'� .�_.L!'�'iJf:Ct'.1�.�I::I , ,:�' . .
<br /> Driveways-lVotoverCounter;ifonpublic-,roadways::needs�RQW�'` .- ,_ . t; .,��:,r:�,�;:��: ,..,,, .,s:��;�? _ ,
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