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813.780-0020 City of Zephyrhills Permit Application Fax s13aa0-0021
<br /> Building Department
<br /> Date koceived Phone Contact for Permitting
<br /> i
<br /> . .
<br /> Owner's.Name Owner Phone Number
<br /> �.;.Owner's Address Owner Phone.Number
<br /> 71 Owner Phone Number
<br /> i. .JOB ADDRESS- _LOT# `1
<br /> SUBDIVISION } -mY ��itcl PARCEL ID#
<br /> tT�� J11 (0B.TAINEp•F90iWP.R0Ptp-T 1TAX• RidE)-.
<br /> WORK PROPOSED NEWCONSTR3 ADD/ALT SIGN 0• Q -DEMOLISH'
<br /> e INSTALL Q: REPAIR
<br /> PROPOSED USE = SFR COMM OTHER
<br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME [ STEEL 0
<br /> DESCRIPTION OF WORK
<br /> ..BUILDING SIZE •� —] SQ•FOOTAGE.,= :HEIGHT•.
<br /> � BUILDING $ --
<br /> VALUATION OF•TOTAL CONSTRUCTION'
<br /> =-ELECTRICAL ($ i� AMP'SERVICE Q DUKE ENERGY W.R.E.C.
<br /> []PLUMBING
<br /> =MECHANICAL $$ J VALUATION OF MECHANICAL INSTALLATION
<br /> =GAS Q ROOFING Q: SPECIALTY OTHER
<br /> FINISHED FLOOR ELEVATIONS FL•QOi)2.ONE AREA YES NO
<br /> :. .,i
<br /> BUILDER COMPANY
<br /> SIGNATURE '' REGISTERED Y/ Nj FEE CURREN , Y/N
<br /> Address , License# �—
<br /> ELECTRICIAN- COMPANY
<br /> SIGNATURE REGISTERED' Y'I N' FEE CURR6 ' ' 'Y%N
<br /> Address . License#
<br /> PLUMBER +�r COMPANY
<br /> SIGNATURE REGISTERED, Y%=N' FEE CURRREP��
<br /> Address License.# l
<br /> MECHANICAL ,,,; -COMPANY 1.
<br /> SIGNATURE' REGISTERED Y/ N FEE CURREN Y/'N. _• `.
<br /> r
<br /> Address License4.1
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED 'Y'/,•N,,,, ,•• FEE CURRER• -.• Y/;N•..,
<br /> -Address
<br /> License'#
<br /> RESIDENTIAL Attach-(2)=Plbt Paan`s;(2)'sets of'f.ulliii g'P�arEriet9Y,Forr'ns;'R=;ONE''Permitfor new construction,,
<br /> ::Minimum-ten=( O):Working'd ys aftei subrr(Ittai`=tlate. Regl d orisita-Unsftctiori Plans,Storm Piant.- Slit Fence installed,
<br /> Sanitary:Fecilities k-1Ydumpstdr,Slfe Work�.Perrnit fbr-sitbdivrsions/latge-prdjects-
<br /> COMMERCIAL Attach(2)complete.sets-of:Building•Plans,plt s•,asLife;,$afety;,P.age;(1}'•set•af,Energy,Forms.R-O'-W Permitfor,:new construction.
<br /> Minimum ten(10),Working,days,after;submittal,¢,ale,,Reguir�ed,onsite;Construction.Rlar;si,Stormwater Pians:w/SiltFence-installed,
<br /> •Sanitary Fadilities&1 durnpst .Sife`GVork Permit for all"new projects.All commercial•requirements must meet compliance
<br /> SIGN PERMIT Attach(,),'sets•qf iingineered;Plans,:
<br /> ""PROPERTY•S.Li09—Y, 'requifed for air NEW construction.
<br /> Directions;
<br /> Fill out application completely.
<br /> Owner.&:Contractor sign.back of.•appiication,notarized
<br /> 'if over$2500,a Notice of ommencement Is requ)red. (A/C upgrades.over$7500)
<br /> " Agent(for the contractor,)or.Power.of:Attorney.•(for the owner}would be someonerwith notarized--letter from-owner authorizing same.
<br /> OVERTHE.COUNTER,P.ERMITTING (copy;of,contraCtrequired)
<br /> Reroofs if shingies Sewers Service Upgrades-A/C Fences(Plot/Survey/Footage)
<br /> Driveways-Not over Counter if on public roadways..needs ROW
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