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813- 780 -0020 City of Zephyrhills Permit Application- G cm I Fax - 813 -780 -0021
<br /> . Building Department
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<br /> Date Received NM 0
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<br /> LL..77 Phone Contact for Permitting
<br /> Owner's Name MN \ 11 � /���� • wner Phone Numbey /'Q ��(�yrJ7 , /
<br /> Owner's Address i�� I I ' I I N Owner Phone Number '- --'-" - ... g/i
<br /> Fee Simple Titleholder Name / Owner Phone Number ask M14
<br /> Fee Simple Titleholder Address
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<br /> JOB ADDRESS V iN - t— I r MI ! b Z i,
<br /> SUBDIVISION Pr ��.( �� P .. Ss-- 2 S') 1 - G o �U - 000 00 - do I 1
<br /> {._�
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED I I NEW CONSTR ADD /ALT SIGN n MOVE n DEMOLISH
<br /> J INSTALL ,_ REPAIR
<br /> PROPOSED USE n SFR 1 1 COMM n OTHER 1 I
<br /> TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL I / n OTHER �-
<br /> DESCRIPTION OF WORK 1 , 1 ei ( f3,6 ,,u id 4,-,o / �,/� "} fik;.,• /l e 6 yy 'kt' )c-c a414,„
<br /> BUILDING SIZE SG FOOTAGE HEIGHT
<br /> BUILDING $ VALUATION OF TOTAL CONSTRU
<br /> I pod • �G CTION __ • � '
<br /> n ELECTRICAL $13k 1 • AMP SERVICE PROGRESS ENERG n W.R.E.C.
<br /> c \ � C r y ., Q - 00 /�� (x/ ppp
<br /> PLUMBING 4 1 .11 o V Q d V f 4 O / D' • �� 1--/-6-C,,
<br /> n MECHANICAL - O VALUATION .: MECH `STALLATION 11 GAS n ROOFING I 1 SPECIALTY n OTHER fl a � � //��
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE nYES 1 INO sz43 ^gyp Y;1.JLi
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<br /> BUILDER / COMPANY �� rI �I� . (r , C
<br /> SIGNATURE " n —
<br /> ,` `� — REGISTERED j �� FEE C - R NT 1� r!
<br /> Address .fg '14Sgal. i J � \r/ ° e t rt...CB ite3# tl J�
<br /> ELECTRICIAN COMPANY �]�� � . '/q�yitL1 �
<br /> SIGNATURE , _ REGISTERED FEE CURRE yy „w (/
<br /> �, 1 �. / LI else# -__ ,n, Address L
<br /> �/ , FLT 1� , rig r%
<br /> SIGNATURE I \n e- tL�tf COMPANY RED �H FEE CURRENT , I �
<br /> Address G , . I Q � O f i 11J i P� C � X! J license # ` 1 ,
<br /> MECHANICAL 0 I COMPANY V
<br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y / N 1
<br /> Address
<br /> . License #
<br /> OTHER �� COMPANY
<br /> SIGNATURE r / 11 REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N
<br /> Address
<br /> License #
<br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction,
<br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
<br /> Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions /large projects
<br /> COMMERCIAL Attach (3) complete sets 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 after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
<br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. At commercial requirements must meet compliance
<br /> SIGN PERMIT Attach (2) sets of Engineered Plans.
<br /> ""PROPERTY SURVEY required for all NEW construction.
<br /> _ ............................... w..............w.�........,..W. .,, W......,,..... W........... W.......... W.........._ ���.. �w............._... W.....,............................ ..�....,........,�.....�m....,r
<br /> Directions:
<br /> Fit 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 $5000)
<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 (Front of Application Only)
<br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage)
<br /> Driveways -Not over Counter if on public roadways..needs ROW
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