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813-780-0020 -City of Zephyrhills Permit Application Fax-843-780-0021
<br /> Building.Department -
<br /> -`..:;'.'tner's.N�ame-
<br /> Reroofiate Receh�ed Z 2' Phone-Contact.for.Permittin �'
<br /> •, ,rra r. - - - ..
<br /> L f' Owner`Phone,Rumber;
<br /> Owner's Address 1,17phond-Number"%".
<br /> 'Fe®'Simple Titleholder Owner Phone Numberi'',;,I `
<br /> Fee Simple Titleholder Address "
<br /> JOB ADDRESS
<br /> SUBDIVISION ;:PARCEL IDS:' !. '���� ��`•.
<br /> (OBTAINED`FROM PROPERTY-TAX NOTICE):..
<br /> WORK.PROP.OSED NEW CONSTR; ADD/ALT. ,Q' SIGN
<br /> e INSTALL::' ,B`: REPAIR
<br /> PROPOSED USE SFR'" s
<br /> Q 0;. COMM; , . r.. :.:OTHER.-' s:.
<br /> TYPE`OF CONSTRUCTION' BLOCK FRAME" `.'STEEL :"
<br /> :o 0 0, ,. o
<br /> DESCRIPTION.OF WORK,,,
<br /> BUILDING';SIZE..: S SQ,FOO,TAGE.17 HEIGHT_.:.
<br /> _.
<br /> 144
<br /> ,
<br /> .. :r
<br /> ;QBUILDING $ 6, VALUATION OF,TOTAG,CONSTRUCTION:
<br /> :MELECTRICAL $ ' AMP..SERVICE^. .. 0 PROGRESS ENERGY. 0 W,:R:E:C:
<br /> =PLUMBING`
<br /> =MECHANICAL $,. VALUATION'OFMECHANICAL' !N--I ILATION :
<br /> =GAS Q ROOFING 0 '•::-SPECIALTY Q.: OTHER.
<br /> FINISHED FLOOR ELEVATIONS FLOODZONeAREA =YES'` NO
<br /> BUILDER COMPANY—
<br /> SIGNATURE
<br /> ' REGISTERED, '',Y,/.N:' `:FEE CURRE?4;• Y/-N`- • O ���
<br /> 'Address E C l � °License#:'
<br /> ELECTRICIAN -.COMPANY
<br /> SIGNATURE ':REGISTERED ' :Yr/.:N='.s:a .,!;FEE'CURRE�.;..i. Y°%`N• :'
<br /> Address = „,•License.#,
<br /> PLUMBER. COMPANY -
<br /> SIGNATURE ;REGISTERED ":Y:C,W ;ryFEE:cuRREnu"-
<br /> Address.< License.#`i
<br /> .,.COMPANY,. _.. ...:: .
<br /> MECHANICAL.; •, . -
<br /> SIGNATURE:, '• 'REGISTERED. ',Y% N: FEE CURRE�
<br /> Address :License
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTEREb''' Y'/'N°:'``` 'FEE CUR,REK' ' Y'/,N
<br /> Address:. License'#ti
<br /> RESIDENTIAL Attach(2)Plot Flans;:(2)sets-of Building'Flans;.(-1)'set.of'Energy'Forms?R=O=VV=Permif?foenew corishuatior
<br /> Minimum ten•(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plaris w%Silt Fence�in's"talled,,
<br /> Sanitary Facilities&1 dumpster;Site Work Permit,for subdivisioris/1arge projects
<br /> COMMERCIAL Attach(2)completesets'of Building;Plans.plus"a_Life Safety'.Page;(1)`set of Energy-forms.,R=O-W-Permit-for new_.construction':
<br /> Minimum ten(10)working`days'aftersutimittaWate R"Wred-onsite,Construction.Plans;Stoimwater Plaris'.w/'Silt'Fence;installed
<br /> Sanitary,Facilities&,1,dumpster:.Site'WorkPermit_for_all new projects:All commercfal;requirements:mustmeetcompliance.
<br /> SIGN PERMIT Attach(2)s"ets.of;Engfrieered:Plans:
<br /> "PROPERTY SURVEY'retIUired for all`NEW-construction.
<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.-.(A/C:upgrades over,$7.500),
<br /> ZV
<br /> '• Agent(for the.contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner.authodzing.same
<br /> OVER-THE COUNTER PERMITTING '(oopy':of contract,required)"
<br /> if shingles-`" -Sdwers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Driveways=Not over Counteriton plic•'road4vays,'needs ROW
<br /> t, pU, y:.;;a:,a ij
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