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813-760-0020 City of Zephyrhills Permit Application Fax-813=780-0021
<br /> Building Department
<br /> to Received Phone Contact.for,Permitting —
<br /> Owner's'Name. t :0 j' tOwner'Phone°Number 4+
<br /> ra
<br /> Owner's Address; OwnerPhone•Numberr
<br /> Fee Simple Titleholdir Nam® Owner Phone Number,_ -
<br /> Fee Simple Titleholder Address
<br /> JOB.ADDRESS LOTIP
<br /> ,#V
<br /> SUBDIVISION :- _a„PARCEL ID# ' ..,-:. ;•- '. ,s
<br /> ,.
<br /> IOBTAINED FROM:P,ROPERTY.TAX.NOTICE)
<br /> WORKP.,ROPOSED -NSTALLSTR.0:,,':�ADD/ALT 0. 'SIGN ,:;_ ..Q ,DEMOLISH :<'
<br /> LJ REPAIR
<br /> PROPOSED USE° 0 'ISFR " 0'` COMM ' _ .OTHER;•.
<br /> TYPE-OF CONSTRUCTION; BL'OCIC F RAME' STEEL'
<br /> �•.
<br /> DESCRIPTION OF.W,ORI X yS
<br /> BUILDING•SIZE SQFOOTAGE HEIGHT
<br /> � .
<br /> -' <% •.:• ; '`-. .::. ::..:. . :. . ". ,� - . , - ^. .,.
<br /> ::VALUATION.OF':TOTAL°CONSTRUCTION
<br /> =ELECTRICAL $. ,'AMP:SERVICE ", :PROGRESS ENERGY ` ' •. W.R:E.C,:,
<br /> =PLUMBING
<br /> =MECHANICAL $.: VALUATION OF,MEGHANICAL INSTALLATION
<br /> 19
<br /> =GAS Q ROOFING 0= SPECIALTY = OTHER„
<br /> FINISHED'FLOOR ELEVATIONS FLOOD _
<br /> ZONE AREA YES NO
<br /> BUILDER �/' COMPANY-!-,
<br /> SIGNATU REGISTERED %Y•/-:N FEE CURREKi;
<br /> Address F License*
<br /> ELECTRICIAN COMPANY
<br /> SIGNATURE , .REGISTERED' `FEE':CURREN:I _''
<br /> Address :. • " r License.#: -•
<br /> PLUMBER COMPANY
<br /> SIGNATURE , REGISTERED ` Y:/."N: F,EE;GURRE� ::Y/'tN'.^ .;: ; •;
<br /> Address i License,#
<br /> MECHANICAL COMPANY.
<br /> SIGNATURE REGISTERED I Y/_N.. FEE,CURRE! .:Y%N:.:'.
<br /> -------------
<br /> Address License
<br /> OTHER ,•,' COMPANY
<br /> SIGNATURE REGISTERED— '` Y`11' '.'�-` FEE CURREV.'
<br /> Addre License#'..:... a RESIDENTIAL At6611`(2);P4Plans;"(2)•setsofBuiidi'ng131ans;(1:).setof Energy;Fonns RHO=VV-Ferin It,
<br /> or new:constnicbon,_,,e;,;
<br /> Minimum ten(10).working days'aftersubmittaPdate.:Required onsite;Construction Plans,StormwaterPlans.,*/,Silt Fencd�installed;.
<br /> Sanitary Facilities&1 dumpster;Site Work Permit_;;for.subdivisionsngrge'projects
<br /> COMMERCIAL Attach(2)"complete sets of;Building_P..lans;plus a-Life:Safety',;Page;'(1)set of Energy Forms:•R-O-W,Permit.for„new:construction •.'
<br /> Minimum ten(16)working'daysafte�submittal.date.''Required`on§ite,'Construction Plans;Stormwate Plan`s,'.w/Silf�Fence`installed,.
<br /> Sanitay Facilities"&9 dumpster,,.Site Work P, r.*!_.for-all new projects.All,commercial requirements must meet compliance.
<br /> SIGN PERMIT Attach(2)'sets.of Engineered Plans.
<br /> '"'"PROPERTY SURVEY'required for'all'NEW construction.
<br /> JIM
<br /> Directions:
<br /> Fill out:application completely.
<br /> Owner&Contractor sign.back of application,notarized
<br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
<br /> Agent(for the contractor)or Power of Attorney(for the owner).would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (copy'of contract:•requlred)
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Driveways-Not over Counter if on public•roadways..needs ROW
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