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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`Permlttin l�' ' ��� - �OT2
<br /> Owner's Name UNj, Owner Phone Number
<br /> Owner's Address 93�s" o�4N�'r' (J Owner Phone Number
<br /> Fee Simple Titleholder Nsme Owner Phon®Number
<br /> Fie Simple Titleholder Address,
<br /> JOB ADDRESS ,3 /J 0 /l/C U £ LOT#
<br /> SUBDIVISION PARCELID# a'I C70
<br /> .•(OBTAINED'FROM•PRORERTYTAX•NOTICE):
<br /> WORK PROPOSED NEwCONSTR ADD/ALT.. �. SIGN 0 [];,.', ":DEMOLISH
<br /> INSTALL -:REPAIR
<br /> PROPOSED—USE.. SFR
<br /> COMM ' OTHER ..
<br /> o' Q a
<br /> TYPE OF CONSTRUCTION`' .:0. -BLOCK' Q,,' ;t=BANE STEEL: .Q.
<br /> DESCRIPTION OP WORK 'J`G C /N..,
<br /> BUILDING=SIZE,: SQ:FOOTAGE=: :.
<br /> J�QPUILDING $ a-� r;�:: .. : .
<br /> •": ham..:..'.. ,
<br /> VALUATIONFTOTAL'CONSTRUCTION
<br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY [�. W.R.E.C.
<br /> =PLUMBING $ �
<br /> =MECHANICAL $" VALUATION,OF_MEdHANICAL„INSTALLATION i.�0—La) t- I'S
<br /> =GAS = .-,ROOFING;,.= SPECIALTY- OTHER,
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO t
<br /> BUILDER COMPANY P7sC d � i✓c' G'C) /�✓e
<br /> SIGNATURE REGISTERED Y/ N _.- FEE CURREK Y/.N_..
<br /> _71 Address License'#
<br /> ELECTRICIAN .. COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRB,
<br /> Address License:#. °
<br /> PLUMBER C.OMP,ANY?:
<br /> SIGNATURE' ;REGISTERED. :Y I-N FEE:cuRREM`
<br /> Address . . .
<br /> lJcensa
<br /> MECHANICAL."' w COMP
<br /> SIGNATURE .
<br /> REGISTERED:'
<br /> ,..FEE'CURREA; :. . :'Y/�I4•
<br /> Address .,
<br /> :License.#:
<br /> OTHER
<br /> SIGNATURE:' ;REGISTEREDN..,'.
<br /> r :... .
<br /> .• ,�. . .. .. .,, � Y/.N,. ;: .:FE�-C.URREN•'.. .
<br /> Address <
<br /> License-#
<br /> — 'e;�-•s.,-.t:.,:...X,'.i^•". :..' ..e...�,.r.1 � ..l`i. .• )}A@:i_:.;.�:':H- .:rl_,!_'':•.,.i .. .. - .
<br /> RESIDENTIAL-,.:--;-Attacti,(2)„Plot Plans;":`(�,)'sets:'of:Building7Rlans;.(1)setoVEriergy°Forms;R=O=W Penriitfor'new;construction ;
<br /> ;,:Minimumltene,�10.)worlting;days,3aiter submltfsl�date�'R'eyulred.onsite;�Construction�Plans`;fStormweter�Plans:w/,.'SIIE Fencelnstalled,
<br /> Sanitary-FacJlitles&��dulnpster,;Sit®W;,okPerrnpt`.fr,.subdivlslansNerge.prrojects
<br /> COMMERCIAL Attach(3)complete sets bf Building"Plans plus-a LLlfe Sefetji 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,Stonnwater Plans w/Slit Fence Installed,
<br /> Sanitary,Faclliges:8!1,.dumpster,.Site:Work Permit.for.all`neW6roiectscAll'commercial.requirements must meet compliance
<br /> SIGN PERMIT Attach-(2j sets of Engi eened Plans
<br /> ""PROPERTY_SURVEY-required•forall,NEW.cogstrucyon
<br /> ,r
<br /> 'Directions: _ :x.r,;, : .. .--
<br /> 'Fill.out application completely.
<br /> Owner&Contractor sign.back-of-application,notarized
<br /> Mover$2500.a_Notice:gf.Ccmmencement is required. (AIC upgrades.over$7300) ,
<br /> Agent.(for the contractor)"Or:Piiwel of Attom®y(for llio owner)would'be someone with,notarized letter from owner authorizing same
<br /> .OVER THE COUNTER.P.ERMITTING-°•,-.•=(Frontof-Application�Oniy) -
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Piot/Survey_/Footage)
<br /> Driveways-Not over Counter If on public roa ways..rieeds.ROW.
<br /> ,.,.
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