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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
<br /> Building Department s�
<br /> Date Received, .•.,, Phone•Gontact,for''Permittin =•' v J` ` — c
<br /> Owner's Name �� �� �' Owner Phone Number
<br /> Owners Address V S i Z_- Owner-Phone Number
<br /> Fee Simple Tltleholder.Name .. Owner P,hone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS C/S C-7r LOT# :
<br /> SUBDIVISION PARCEL ''
<br /> '(O®TAINED FROM PROPERTY TIUFNancEy. "
<br /> WORK PROPOSED NEW-CONSTR'? ADD/ALT' �. SIGN" Q" Q DEMOLISH'
<br /> -INSTALL r+ .'r;. REPAIR
<br /> PROPOSED--USE.. Q' SFR COMM'k _ OTHER ``
<br /> TYPE OF CONSTRUCTION. . '•'BL'OCK�' ''�. . ,FRAMEr �. STEEL
<br /> DESCRIPTION OF WORK
<br /> : . t
<br /> BUILDING`SIZE � SQFOOTAt'aE o�r ;HEIGHT:. , �'.
<br /> ' BUILDING $
<br /> r VACUATION�` F TOTAL'CgNSTRUCTION
<br /> ,
<br /> =ELECTRICAL . $ AMP SERVICE Q` PROGRESS ENERGY '.Q.. ':W.R.E.C..,
<br /> =PLUMBING. $
<br /> =MECHANICAL ' $ VALUATIOROF,MECHANICAL:INSTALLATION
<br /> =GAS 0 ROOFING, - SPECIALTY'= OTHER. = -
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES: NO
<br /> BUILDER COMPANY ' ' % L.
<br /> SIGNATURE (+✓, G�"t REGISTERED Y/ N FEE CURRE�'`.,. .Y[N,r i'
<br /> Address Cleanse#'
<br /> ELECTRICUAN: r, COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CU�R'RE`Y/
<br /> Address Ucense#r i
<br /> PLUMBER. GOMPANY- :... ;
<br /> SIGNATURE REGIs.TERED:. Y/••nN FEE'CURREK
<br /> Address Wcense
<br /> MECHANICAL -' .C.otwPAWY /
<br /> SIGNATURE :. REGISTERED' .;Y,/ N'- ' ..FEE CURREh' Y/-N
<br /> Address. License#:
<br /> OTHER GOf{APANY.
<br /> SIGNATURE.: yREGIS7ERED,, Y/'N.:' EEE`GURREP'~ N11.
<br /> Address
<br /> .;;• i r•;: .-^_ a:.y:>"a+ .�_.�••'.:1 . �t.'. .• ,..._.- ..
<br /> R SIDENTtAL Piftach 2`'I?16t Plaiis�t`2'sets iif Suildln plans`<`1 ;set of.Ena F.oiriis;-R,O;WPermlt'.fot•'.rlaw„constnidon;:::,
<br /> E Ov_,_ ,.( ) g . . { ) . psi+.
<br /> Mlnlmurii�:ten(1Q.)tworkingysaiter?sutimlttal date. Requlreitonsife',,Construotion Plans;Stormwater Plans'w/,SIIt;Fence,tn'stelled,
<br /> 'SanitaryrFac�lities
<br /> 'da
<br /> SlterVlloricsPemrlt:(or.;sutid�vlslotfsflerge`projects: _'•<< __ ::
<br /> COMMERCIAL Attach(3)'eomplate se#s&-Building`Ptans plus a l(fe 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/Slit Fence installed;' __-
<br /> SanitaryEggI11tt~es.&,1.dumpster..Site Work-Permit loralFnew'.prrjects,�Ali'commercial.requirements•must,meetcompitance 4: '
<br /> SiGN'PERMIT Attad (2)1sets of Engineered Plans,:=,;.:.. . ._ •._.
<br /> 011"PROP,ERTY,SURVEY=required-fora)I NEW,construcNon:;..,.,
<br /> Directions:
<br /> Fili,out application completely.
<br /> Owner&Contractor.sigrr back of application,notarized
<br /> If*over$2500,a:Notice of:Commencement Is required. (A/C upgrades over$7600).._
<br /> Agent(for the contractor)`or Power of Attoiitiey'(fo>`the.owner)would be someone.with notarized letter from owner authorizing same
<br /> OVER THE GOUNTER.P..ERMiTTING : (Frontafiie►pPil iation•Only)= . �.
<br /> Reroofs if shingles 'Sewers Service Upgrades A/C Fences,(Piot/$,u`rvey/Footage)
<br /> Driveways-Not over Counter if on public roadways.,needs ROW
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