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e13ae0-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021
<br /> Building Department =
<br /> Date Received i - 3jQ
<br /> ' Phone Contact for Permittingrrrrrrrrrril.
<br /> } 'b'
<br /> Owners Name Q M G I C.-Z e v Owner Phone Number 742 i
<br /> 7-1 Owner's Address 52 " S f Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple!Titleholder Address
<br /> JOB ADDRESS 7 2 - ''S LOT#
<br /> SUBDIVISION 60u E cI S PARCEL IN '11'26'?V''60 O ,2ZOO 060 1
<br /> ii-
<br /> 1.., '- '(OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK'Fl Q CiSED = e NEW CONS`I-k ADD/ALT 0 SIGN = Q DEMOLISH
<br /> INSTALL 'REPAIR
<br /> PROPOSED USE Q SFR Q COMM Q OTHER
<br /> TYPE OF CONSTRUCTION Lis ' BLOCK_ Q,, FRAME 0 -STEEL' 0_ .
<br /> DESCRIPTION OF WORK
<br /> BUILDING SIZE SQ FOOTAGE HEIGHT
<br /> BUILDING $ "" VALUATION OF TOTAL CONS
<br /> I;
<br /> 7 CONSTRUCTION
<br /> 4�0 „
<br /> =ELECTRICAL $. •- AMP SERVICE _ PROGRESS ENERGY Q W:R.E.C. ;
<br /> S
<br /> =PLUMBING $ j
<br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> =iGAS ED---ROOFING = SPECIALTY = OTHER,
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N.
<br /> BUILDER( COMPANY
<br /> '- SIGNATURE REGISTERED - °Y/ N+ ' FEE CURREM 11-Y/N .
<br /> i
<br /> Address'.., License#'
<br /> -ELECTRICIAN COMPANY
<br /> SIGNATURE• REGISTERED'. Y./ N " Ft E CURREn .'.. .YTN;, .
<br /> i
<br /> Address'',. License#:
<br /> PLUMBER` ;COMPANY '
<br /> SIGNATURE - REGISTERED. Y'/;Pf:,, FEE'CURRFN.;. : -'Y/N-.1.-: .`-.'
<br /> Address :„ ,- License#
<br /> MECHANICAL;:. COMPANY'
<br /> SIGNATURE --.'. _ ': `.,'•:-': - REGISTERED Y./-N.;' .FEE6Cl1RREn
<br /> Address. License#;
<br /> COMPANY n t as X<i.G:
<br /> SIGNATURE •,,'•, : .. _...•REGISTERED._ :YIN ,.FEE CURREh_,�:. Y/
<br /> AdiireSS _a License#. C (f 2..,-..__::-:r_?S�J_�-^,';:ter:i�a.1r,''i.:'': :•. ..:::� •• -
<br /> RESIDENTIAL "'Attach;(2)PIot;Plans;;(2)sets,of_Bulldng:Flans;;(1)set;of energy Forms;,R 9 W;Permif,fo new construction;..•.. .,
<br /> Mlnl'mum ten_(10)_woiking ays aftersubmittardate. Required onslte;Constm'c0on Plans;Stormwater Plans w/Sli'Fen_ce installed,
<br /> Sanitary`Facilities 81 dumpste-r•Site Work Permit for subdivisionsRarge projects
<br /> -„;"COMMERCIAL Attach(2)complete sets 6f•Building6Plans plus a Life-Safety.Page;.(1)set of Energy Forms.R-O-W Permit for new construction.
<br /> 'Minimufii.1en(10)working days,after submittal date:,Reguired'onsite,ConsWction'Plans,:StorrnwaterPlansw/SIR Fenoe installed,
<br /> Sanitary Faotlitlee 81 dumpster Site Work Permit for all new projects.All commercial requirement's must meet compliance,•'
<br /> S,;SIGN PERMIT Atta'cii(2)seis`of Englneere Pions .<
<br /> ""PROPERTY SURVEY:required:for•,a11 NEW construction.,.
<br /> =.Directions:' •
<br /> :Fill`out applica0on completely.,.,-Owner B:Contr a.c torsfn b ;of,app,l,i,c;a f�o rn;.,no ta�ri zed i g eireIfover$2500,alloticeofCommencemntsquired;:;,
<br /> -
<br /> (AIC upgrades over-$7500)
<br /> :Agent(for thexbritraotor)or Powerof Attorney(for the owner)would tie someone with notarized letter from owner authorizing same
<br /> OVER:THE:COUNTER P_ERMI`I.TTING ,f„.;(F?PY of contras required)'•.,_..,, -._„
<br /> 'Reroofsifshingles Sewers ; ;Senrioe;Upgrad-s,' C-""Fences'(PIoVSurvey/Foofage)
<br /> Driveways-Not over Counter..if on public roadways..needs'ROW"'
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