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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department
<br /> Date'Recelved P.hone,Coptact for Permittin
<br /> 6 ..,� > f7A iJ / 6- OwleerPht3ne Nuni 'r C9a
<br /> :=r�k.Owner's Address ..671� Ater� 4, Owner Phone yNumber.'
<br /> ��11 C-11►/��Jr p• i {� Own er.Phone'Number
<br /> 'JOBADDRESS' j? v[ o PaM kli_k�_O" k.' LOT.'#'=
<br /> SUBDIVISION PARCEI.ID#R9
<br /> (08TAINEDAft PROPERTY,-TAXI. ,OTICE)S-.
<br /> WORtC PROPOSED .. NEW;CONSTR ADDIAi:T. • - : SIGN "': r':DEMOLISH".;
<br /> e INSTALL, REPAIR
<br /> PROPOSED USE ca COM;. - . SFR M OTHER:,' .
<br /> �,
<br /> :TyPE.OF CONSTRUCTION BLOCK FRAM ` 'STE L -l-
<br /> 0 0 : E
<br /> ''DESORIPTION-OFINORK CrO aa
<br /> o
<br /> ,BUILDING.SIZE i( '� )C `' "S4:FOOTAGE 1 HtIGHif: �;,.
<br /> St11LOtNG'' $ -Ow VALUATION OF TOTAL CONSI RUCTION<J
<br /> .J
<br /> QEI:ECTRICAL $ AMP'SERVICE DUKE'ENERGT' W:RiE.C.
<br /> ,=PLUMBING $..
<br /> =MECHANICAL $ VALUATION OF MECHANICAL-INSTALLATION. !/
<br /> =GAS Q ROOFING ' ..,"SPECIALTY :. ml
<br /> OTHER � � "
<br /> FINISHED FI:OOR:ELEVATIONS F.�ClOD'ZONE''AREA:.. `" YES :' NO"
<br /> .. _.�
<br /> i ..; ...,;, .
<br /> BUILDER , � � COMPANY 7,4, A .
<br /> SIGNATURE REGISTERED Y"/-f11.:' FEE.CURRED;... : ;:Y•1:N..._..,,,^ ~
<br /> Address License*..+ .
<br /> ELECTRICIAN .,COMPANY
<br /> SIGNATURE .REGISTERED'. Y'/'•'N: FEE CURRE :,•Y.%N:,-
<br /> -
<br /> Address "License.# . .
<br /> PLUMBER COMPANY'
<br /> SIGNATURE REGISTI~RED Y%"'N'''" :fEECURREP`
<br /> Address. License:#.. >,.•',
<br /> MECHANNiCAL :t oMPANY
<br /> SIGNATURE'` • REGISTERED'' Y%N" 'FEE'CURAEN ' - ':Y/rW*.
<br /> Address; y•..License#:l 3:: .
<br /> OTHER,; COMPANY:
<br /> SIGNATURE RE 1ftERED . Y7C N,....:r,,,.:_FEE,CURREA.,:,.
<br /> Address e r W P t rr w colts oNoo'
<br /> RE8IDENTtAC i4tt8cti' :l?lot'i?laiis^!!2'sets of;�Ii)litri 'Pleris .1 ;seto#.';Ene orrits;'R=t)-. "erm ;€or Vu
<br /> Afniiiium ten(10)�Wo'rklrig iiays:,'affer siibif i1t81=hate 'Regiiireti on'sike;"Constrt7cttbn,Pians;S�o''r'mwater P..lans wl:Silt i=ence
<br /> 8anifary:Facifitles:8�;1.dumpster;Site.Wdr'k�Permit`fdr'tUbdiVisions/large-projects
<br /> COMMERCIAL Attach,(2.)°oonioleteisets-of Building Pians;ptlisa.,IfeSafety:Rage,,(1,).setof Energyfdrms.it O=W Permit-fdr4w:co►jstructian.-
<br /> Mtn)mum ten;(;1.0); rking;d;ys afterjyubmitfal;tlate t equlre t onsite;Constnugtton R(ans;Stomiwafer Piave w/,N)LFenc_e instailetl,
<br /> Sanitary Facilities&1 tlurripst r.Sife Work Permit far all new;projects.'All commerctaL regUPrements mustmeet compliance
<br /> SIGN PERMIT Attach-(2)ise6:of:Engir�ered.`.P.,ians: ....':a` , :: . -_
<br /> "PROP:.ERTYSURVEY-requited for eli NEW construction.
<br /> Directions:
<br /> Fill out application completely.
<br /> Owne,9_;Cohtrpctor sign;back of application,notarized.
<br /> I#over S2$Ot?r a Notice of'Comniencement is required. (AIC upgrades over$7500)
<br /> ty
<br /> •• Agent(for the contractor.)or-powqr.af Attorney,,(forthe owner):wolild`lie someone.with notarized letter`from:•'owrier00tho4zing same;;;:
<br /> OVERT,IiEGOUNTERfPERMITTING..
<br /> Rerodfs if shingles Sewers Seiviw-`Upgrades.?A(C: Fen6es�(PIoUSurvey/Footage)
<br /> Driveways-Not over Counterifori.public,roadways::needs,ROu+f;:=:
<br />
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