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s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department 7
<br /> Date Received � ��/' ��'1 `�l.(3 �3��
<br /> % � Phone Contact for Permitting
<br /> Owner's Name 111�1� �l,l,� Owner Phone Number ' ��� � J
<br /> ��
<br /> Owner's Address �1� � ,,c7� Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS � 1�\ 1 x'� ►'l �����` LOT# �
<br /> SUBDIVISION PARCEL ID# � I^����1 ^ v�'v ~�l1 "' I
<br /> , (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> �' WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN � Q DEMOLISH
<br /> '' INSTALL REPAIR
<br /> �� PROPOSED USE � SFR Q COMM � OTHER
<br /> �� TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0
<br /> �
<br /> i; DESCRIPTION OF WORK �e ��e.,3��n�oW s ��,e� � ,� �
<br /> i�
<br /> i�
<br /> I� BUILDING SIZE SQ FOOTAGE� HEIGHT
<br /> 1
<br /> �I BUILDING $ � �oO�Uc7 VALUATION OF TOTAL CONSTRUCTION
<br /> ;�
<br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C:
<br /> 1I �PLUMBING $
<br /> � OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> ' � ����
<br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER �
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
<br /> � BUILDER /���� � �� �/ ��J L COMPANY �C�• G�7'fCJrS� '�(G r ��
<br /> . SIGNATURE `�'�c.�^�-� (J+�v�� " REGISTERED Y/ N FEE CURRE� Y/N
<br /> i Address /2�J ��2C� OY) �J�l�(p9 License# � , o�
<br /> ,;
<br /> ± ELECTRICIAN COMPANY
<br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> i
<br /> iAddress License#
<br /> j PLUMBER COMPANY
<br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> i Address License#
<br /> � MECHANICAL COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> , Address License#
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
<br /> Address License#
<br /> �{
<br /> ; 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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> , Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
<br /> COMMERCIAL 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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
<br /> SIGN PERMIT Attach(2)sets of Engineered Plans.
<br /> "*`*PROPERTY SURVEY required for all NEW construction.
<br /> Directions:
<br /> Fill out application completely.
<br /> Owner&Contractor sign back of application,notarized
<br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
<br /> '* Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER PERM11'1'ING_....,,.;..:(copy of.contract reguired),_ „
<br /> Reroofs if shingles Sewers; Service Upgrades;A/C., Fences(Plot/Survey/Footage)
<br /> _,.. _ .. .. � • .. .,. -. _ _,_ .__ -.. - -
<br /> "� .-„-.. . _�'i t�i..:i%:;.::'i. �� � , '„ ' I'=i i'�'�':c,:.;P�� �,! ,
<br /> Drivewa;�s-Not over Counter if on publ_ic roadways,;needs ROW;�"" �,' • - , • , -
<br /> • � ;.�'r.:�t�,.-., -..�, � , � �.. `., \,_.-, , .. . , - ' �
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