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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> • -- Building Department �;;�
<br /> Date Received _ �-'
<br /> Ph e Contact for Permitting =
<br /> � �(�' — � S
<br /> Owner's Name Ow Phone Numbe
<br /> Owner's Address
<br /> O vOwner Phone Number
<br /> Fee Simple;Titleholder Name � � Owner Phone Number
<br /> Fee Simple{Titleholder Address
<br /> JOB ADDRESS � � � �. � ��S�Z LOT# � I
<br /> 1
<br /> i �7
<br /> SUBDIVISION � PARCEL ID# S� � o�ti � E '�6 �'-"'�6�}C�
<br /> � .
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> 9
<br /> WORK PROPOSED e . NEW CONSTR 8 ADDIALT Q SIGN Q Q DEMOLISH
<br /> ' INSTALL REPAIR
<br /> PROP,OSED USE Q SFR Q COMM 0 OTHER
<br /> TYPE'OF CONSTRUCTION Q BLOCK • Q FRi4ME 0 STEEL Q ,
<br /> DESCRIPTItON OF WORK � CAJZ- � �6- �� � QC2 ��
<br /> BUIL'DING;SIZE SQ FOOTAGE� HEIGHT •
<br /> • QBrUILDING $ VALUATION'OF TOTAL CONSTRIJCTIbN
<br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> �� �
<br /> QPLUMBING $
<br /> QNIECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> � f ,
<br /> �
<br /> �
<br /> QGAS �— ROOFING Q SPECIALTY � Ol'HER
<br /> FINISHED FLOOR ELEVATIONS `� �� �J1� FLOOD ZONE AREA QYES NO -
<br /> i
<br /> �
<br /> BUILDER F COAAPANY
<br /> SIGNATURE REGISTERED Y'/ N FEE CURRE� Y/N
<br /> Addre`ss License#'
<br /> � .!
<br /> �."ELECTRI,CIAN �,.; COMPANY
<br /> 81GNATURE ' REGISTERED Y/ N FEE'CURRE� Y/N.
<br /> E .
<br /> � Address - License# �
<br /> �
<br /> PL'�MBER;�., �COMPANY �
<br /> .,,�
<br /> SIGNATURE REGISTERED Y.•/ N ' FEE CURRE� Y/N
<br /> Addre$s -Lfcense#
<br /> "".MECHAPIICAL' � � COMPANY
<br /> '� SIGIdAYURE' ' REGISTERED Y/ N - FEE CURRE� , .' Y/N -
<br /> Add�ess=� � � ' License-#
<br /> �.;si'.,r � . ,�.
<br /> ::: .OTHER���%�''.= , . �y, COMPANY �� � . �� ��
<br /> ,SIGNATURE:;� _� • - � REGISTERED Y/.N. FEE RRen' Y/N
<br /> Address��. - ' � - ' - License# ��C L�3���lj i
<br /> c�-.:
<br /> ':��RESIDEN;TIAI.<;;`: Attach�(2)cPlot"P,lans;:(2):sefs of�Building�Plans;(1�)`set of�Energy;Forms;R;O=VV.Pe.rmit.for new.constnapti,on,'t
<br /> � ��,_ �:���,yi:-n,,:;Minimum�ten,.(,10)yworking;days:after�sabmittal:date. Reqwretl''onsite;Constru�ction Plans;Stor"rnwater Plan"s w/Sflt Fence installed,
<br /> rs._,. ' �- �Sanitary,;FaciBties�B�1e�dumpster;.Site:Worir Permit for::subdiGisions/large`:p�ojects'-.� �� �' _
<br /> :.z:COMMERCIAL Attach'(2)compleCe'sets of'BuilBing Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> _ :_ - Minimum-ten(10)workfng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilitles 8�1 dumpster.Site Work Permit fo�all�new prbjects.All commercial requirements must meet compliance
<br /> �'�-$IGNcPERMIT �Attacti(2)sets:ofiEngineered Plans:��r: - .-
<br /> .,, .
<br /> '°"�� "'*PROPERTY SURVEY required for all_NEW construction. .
<br /> ;`:;'
<br /> :>" - - -
<br /> `��'Di`ceCtlOns:; _ .,-,-.
<br /> - E111.out:application completely. �
<br /> � Owner`8 Contraotor sign back of application,notarized
<br /> If over'$2500,a Notice.of Gommencement is required. (A/C upgrades over$7500)
<br /> ,. " Agent(fo��'th'e�cont�aotor)•or`Powerof Attomey(for'the owner)would be someone with notarized letter from owner authorizing same �
<br /> ;;._.. , , �
<br /> t„OVER:THE COUNTER,PERMITIING. (copy.of-contract required)
<br /> 'Reroofs.ifshingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) , �
<br /> , Driveways-Not over Counter if on piitilic r`oadways..needs ROW;:? � • � �
<br /> .. ,' ,, , . -,. . ' .,..a. � ,... � ;,
<br /> .... .... ..,... - --�- - . ,,.. .� ._w .�.,..-.,._�.� ._....,
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