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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department . `
<br /> Date Received Phone�Contact�for�Permittin
<br /> Owner's Name � �i�'Y/t,5 � �,,��Owner Phone Number -- �—�Z
<br />', OwnePs Address � y Owner Phone'Number .
<br /> i '
<br /> Fee Slmple;Titleholder Name • � � � Owner Phone Number
<br /> Fee Slmple�Titleholder Address
<br /> JOB ADDRESS � i" ,(I LOT# �
<br /> SUBDIVISION PARCEL ID� �
<br /> j , (OBTAINED F.ROM,PROPERT1f:TAX NOTICE) �
<br /> WORK PROPOSED . NEW CONSTR ADD/ALl' SIGN' Q � Q DEMOLISH
<br /> , �B: INSTALL B REPAIR �
<br /> PROPOSED�.USE Q SFR• Q 'COMM Q •OTHER � �
<br /> TYPE OF CON3TRUCTIOPI Q` •BLOCK " Q FRAME � [�]° :STEEL Q �
<br /> DESCRIPTION OF WORK r� Il7COt2�f'4 e�! J C � �/ �� � �,.�,,�J
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<br /> BUILDINS'a SIZE �"SQ FOOTAGE�� HEI,GHT� .
<br /> Q B,UILDING S VALUATION�"OF TOTAL CONSTRUCTION e.
<br /> [�]E�LECTRICAL $ Q, AMP SERVICE Q PROGRESS ENERG W, E:C.
<br /> � . � , , • �
<br /> � .
<br /> QP�LUMBING � �$ '
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<br /> i ' ' l
<br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTALWTION iU
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<br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � f� R� '
<br /> �Yl�
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. N ; � U
<br /> BUILDER COMPANY � ` �
<br /> SIGNATURE REGISTEREO Y/ fV FEE CURRE� Y/N
<br /> Address Llcense#' ' �
<br /> ELECTRICIAN :COMPANY -
<br /> SIGNATURE � � � REGISTERED N
<br /> ; FEE CURRE�=' Y/N
<br /> Address �' . � _ . License# .
<br /> PLUMBER`: ; COMPANY -
<br /> SIGNATURE' � REGISTERED- Y./ N� � ., rt �FEE•CURREP " Y-/N . �
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<br /> Address � , `- , License,,# " - .
<br /> - ' � ';F:, !.
<br /> AAECHANICAI: ' , COMPANY, ._ - ' ,.
<br /> SIGNATUP2E � � � ` � ' " "' REGISTERED Y,/_N FEE CURRE�. , X,/rN' ,
<br /> Address����-= ��. .. , . � -- � ` . _ � License#
<br /> OTHER � - � ' ':.COMPANY, �� ' - .
<br /> SIGNATURE '" � � - , � ` �
<br /> � REGISTERED - ' Y/ N:.. � FEE CURRE� Y/N
<br /> Address ,': � � . ' License# _ , .
<br /> RESIDENTIAL:�- _ Attach(2)�P_„Iot�P;lans;.:(2)sets:of�Bulldi'ng�'Plan's•'�(1)'set'of=Energy-FoiFn,s;'.R=O=WPerrriltfornewconstruction,, - ' �
<br /> • �..,J�.Minimum;ten,_(:1,0);working;dajis;after;submiEtal`date�::R'equir`eil onsite;,;ConstrucBon=Rlans;'Stortnwater'Plans w/SIItFence installed,
<br /> f Sanitary�FacllfUes:&,1:dumpste,r„SIte�Work:.P.ermitfor,subdiv_islonsAarge;pro]ects�_ _.,, ._,, • '� �' ° ' ` =
<br /> COMMERC!/4L Attach(3)�complete sets of Building Plans plus a Life Safety Page;`(1)set of Energy Forms.R-O-W Permit for new construcUon.
<br /> Minlmum ten(10)wo�lcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Fadlides&1 dumpster.Site Work Permit for all new:projects:.All commercial requlrements.must meet compliance `
<br /> SIGN PERMIT Attacti(2)sets of Erigineer.edcPlans.; �;.--�.- � : .: � . �- - - '
<br /> "••PROPERTY SURVEY required for_all„NE,W,gonstrucUon.. .
<br /> Directlons: .,.... - ._ - � -
<br /> Fill out appiicaUon completely.
<br /> Owner&Contractor sign back of applicatlon,notarized
<br /> If�over 52500,a Notice of Commencement la requlred. (AIC upgrades over 57500) ,
<br /> " Agent(for tfie contractor)�or'Powe�of Attomey(for tFie owner)would be�someone with notarized letter from owner authorizing same
<br /> DVER THE•COUNTER.PERMITTING•-� -.- �(Front of-Application Only)�
<br /> Reraofs if shingles Sewers Service Upgrades A/C Fences(PlodSuroey/Footage)
<br /> Driveways-Not over Counter if an public roadways..needs ROW� '
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