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813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department
<br /> w
<br /> "Datb ReCelVed
<br /> Phone,Cootact.for Permitting..
<br /> >•. •Owner's•Name� � l�i.. . ``Owrier.Phone iVuiriber ;C '
<br /> ,,Owner's Address `I n(o. H, ;D L) WnerPhonei`Nuifi_ber-
<br /> �U =P (Do 1. Owner.Phone Number
<br /> JOB ADDRESS' Z 1,Y .IIY r,�'l�1 l I .•� �I 2
<br /> ''SUBDIVISION _Y�i. PARCEL ID#
<br /> -(OBTAINEV.AgWVR0PtRT1FTAX: OTICE) '
<br /> { ;WORI<PROP,iOSED NEW:CONSTR[ - ADDIALT._`{ SIG
<br /> N Q`` ] DEMOLISH'=
<br /> INSTALL. © :REPAIR .
<br /> PROPOSED USE. SFR. ] ,,COMM [ :OTHER
<br /> :,:__
<br /> TYPE.OF CONSTRUCTION,' BLOCK' Q FRAME>''; `[� g ,
<br /> "DESCRIPT.ION•OP-WORK ll (� Yl� �Q l 4 T l r C ad
<br /> BUILOiNG.SIZE SQ•.FOOTAGE ;HEIGHT..•-;
<br /> B '' $ :>• :... ..
<br /> UILDING ::... .. . . ... .. . ...: • ,
<br /> ! .
<br /> VALUATION OFTOTAL CONSTRUCTION
<br /> I AMF'SERVICE DUKE ENERGY'. W:R:E.C:.LEGTRICAl.. . $.
<br /> PLUMBING
<br /> =MECHANICAL $ VALUATION OF MECHANICAL-INSTALLATION !d
<br /> GAS •ROOFING SPEC(A�TY ] OTHER .
<br /> :FINISHED FLOOR:ELEVATIONS FLOOD'-ZONE'AREA OYES .' NO
<br /> BUILDER COMPANY ,
<br /> SIGNATURE }.REGISTERED Y/-N-:, 'FEE.CURROKi-.
<br /> Address License-#,�
<br /> EI.ECTI�tc1AN` colwPAs�Y :: - � . S 2::�I-�.G to--� .Cony rac 15
<br /> SIGNATURE l' "`�" i �� •REGISTERED'. "Y,VN.. FEE CURRW
<br /> Address 'License
<br /> t.
<br /> PLUMBER COMPANY. r; -
<br /> SIGNATURE REGISTERED. .`Y/'N: :;a; t2E.CURR1 Y/`Nr
<br /> Address- Ucense.#.,
<br /> MECHANICAL: _r:. COMPANY
<br /> SIGNATURE" REGISTERED': Y/-N FEECURREh . :, ,,;Y./aN
<br /> Address,: :: stacense#:
<br /> OTHER. !.COMPANY.'
<br /> 81GNATURE. RE 131TERE6 W..7:N,;,,;; FEE,CURREN.,-;;_ ;•',Y""/;N.',z
<br /> :Address License
<br /> RESIDENTIAL i4ttach pt'.ot i?!ans,.2`5ets pf�uildi `'Ptaris`{1);set of:Energy Forins�R ,W Perrrii .for new<coristructichi,•
<br /> �Airiltnum}ten`,(18}Woriiing:days afterstitiriiii#ai tlate `R q 'ired`onslte'Co'nst`riicBoh P.lans;'S oriiiwater"t?Ians;w1 tilt-0 h nistilied ._
<br /> Sanitary:Facilitles&1.:dumpsteg,.Sltb Work^Peimit-ftirtisulidiViWt)hsfiatge•projects'
<br /> COMMERCIAL Attach(2)-complete,sets•of.Building PlansPptasa.t:ife,,Safety Page;�(1)'.setlof!EnergyForms:`R=O=W Perniit for�new;co si truction: .
<br /> Minimum ten(10)workingadays aftersbmittai;date: epuire�d onsite;ConstructionP►aStormwater Platrs;w/Sijt'Fence installed,'
<br /> SanitaryFacili0es&1.tlurripsfrk Sifelllork Permit for all new projects:All commerdal.requirements must meet compliance
<br /> SIGN PERMIT Attach(2)ysets of Engirteerect i?tarts::, .: t_,
<br /> ""'PROPERTY,$URVEY`n qulred for all NEW cofistruction.
<br /> Directions:
<br /> .Fill out application completely:
<br /> aLa-�]
<br /> Owner-BkContrctor sPgn:back of,application,notarized,
<br /> if over 32500;a Notii a ort Commencement Is required. (A/C upgrades.aver$7500)
<br /> •• Agent(for-the-contractor)or.Power of,Attompy,(forthe owner).would'be someone:with notarized-letter from-awner•authorizing same
<br /> OVERTHE'GOUNTER<PERMITTtNG.. (copyr �of_ otract_,re.qulred).
<br /> Reroofs if ShIrIgles Sewers Service V0i;lrades,.-A/C 'Fences(Plot/Survey/Footage)
<br /> Driveways-Not over Counter N on-public roadways-needs ROW
<br />
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