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813-780-0020 City of Zephyrhills Permit Application Fax 813-780.0021
<br /> Building Departrnent '
<br /> Date Received '
<br /> Phone Contact4or,PerMittin �13°`.
<br /> Owner's Name !eo 6 /0 Owner Phone Number
<br /> Owners Address Ownee Phone-Number
<br /> Fee Simple Titleholder'Name. . Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS ��� L v LOT# .
<br /> SUBDIVISION PIRCEL ID# 0100 L 012 cJd
<br /> ( ; (OBTAINED F•ROMYROPERTY-TAX.NOTICE)
<br /> WORK PROPOSED NEW"Ct3NSTR ' ; ` ADDlAI.T SIGN:-� DEMOLISH
<br /> �.: INSTALL
<br /> PROPOSED U•,SE 0 ." SFR., COMM., OTHER..
<br /> TYPE OF CONSTRUCTION Q` - BLOCK �] FRAME : STEEL [ -
<br /> DESCRIPTION OF WORK �•LJ,� E C ��,o�JG�
<br /> ' ; f -
<br /> SUILDINGiSIZE SQ"FOOTAGE" ,.HEIGHT G�
<br /> BUILDING $ . ... . ., ^� .,;.- _' :,"- .. .: ., •
<br /> eo v o p VALUATION.0 TOTAL-CONS7'RUCTiON
<br /> 1;
<br /> =EI ECTRICAL $ AMP SERVICE PROGRESS ENERGY Q AE.C.
<br /> Q0,LUMBING
<br /> MECHANICAL �-
<br /> 0 $ . •VAL'UATION OF�MECHANICAL INSTACLATiON
<br /> QGAS [� ROOFING :0 SFECIALTY.:= OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES. NO
<br /> I`
<br /> BUILDER j �e COMPANY<.:. SG t3 . . Vie.
<br /> SIGNATURE (O�/ (�'� REGISTERED Y N FEE CURREK` Y/
<br /> Address License#'F
<br /> ELECTRICIAi , COMPANY.
<br /> SIGNATURE' ' REGISTERED Y/ N I FEE CURREK'' % •��Y/`N . :
<br /> Address LUcense#:I
<br /> PLUMBER`.,a COMPANY
<br /> SIGNATURE'. REGISTERED. -Y./,X( ;SEE CURRE�" Y•/N.
<br /> Address Loenss,#x(,:: ,•... .. :. : .
<br /> MECHANIC,i::: COMPANY
<br /> SIGNATURE... REGISTERED . J Y./.N':' f'FEE
<br /> j5 . ..
<br /> Address-
<br /> OTHER GOIyiIPANX'
<br /> SIGNATURE Y;
<br /> :. '
<br /> 'REGISTERED`• '-Y/ NA:,.:' "'FEE CURREN '
<br /> Address' ; n License#
<br /> REStDEIiITiAi: < rA 'cti':'2 ,Ptaf:Ptlaris 2 setsof Baildin=Plans;-.:1 sef s s :<... t,,R=0=1N�F®rrrii fot new tbnsWcitori
<br /> c. ,>rMlnimumrten(1,pj uxortiI g daysseftef subtinittalsdate: Required onslte,COi,atniction`Plans;Stonnwefe�'Plans wY Silt Fence installed;
<br /> Sanitary Facilities,&1 dumpster,Site Work Permik forsubdivisioh5llarge';pn�o),ects`: .,:p,:: �`- _- : _�.�;.`_ �>., � ,
<br /> COMMERCIAL Attach(3)°co4lete"s`ets'of Biiititing Plans pies a'Life Safety Page;{1j set of'Energy Forms.Wd W Permit for new..construction.-
<br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new.pmjdcts..All commercial.requirements,must meet compliance '
<br /> :"glGN-PERMIT Attach(2}s®tsof•Eiidli*ied-PJans.,i- ;,:•._ ; -
<br /> **PROPERTY SURVEY'required'for aI1,NEW construction.. .
<br /> blrecllons: '
<br /> Fill out application completely.
<br /> Owner&Contractor sign back of application,notarized
<br /> Commencement is required.. (A/C,upgrades over$7500)ifover$2500,a Notice of„ :; ...
<br /> Agent(for the contractor)`or Power,.ofAttomey(ft ,tfie,owner).would be�omeone,with.notarized letter from owner authodzing'same
<br /> OVER THE CO.UNTER.P..ERMITTI_NG.... _-.::(Front of=Applicatlon:0nly).„ <:..-
<br /> Reroofs If shingles Sewers;'. Service Upgrades A/C.x:` ;Fences-(Riot/Survey/Footage)
<br /> Driveways-Not over Counted'ironpublic roadways:needsROVII~' --
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