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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
<br /> Building Department
<br /> )
<br /> Date Received ,�.�� , phone Contact for ' in ��� 7�J - �-�/c:s
<br /> .
<br /> Owner's Name �[9 ���.E��d i`�� �� �-S`f C���c Y Owner Phone Number ����– ?�p" �� � !
<br /> Owner's Address '� � �� �� z �`i ������ �c7' y�uvner Phone Number� �
<br /> Fee Simple Titleholder Name Owner Phone Number �
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS �y� � / ��� S � � �`t i ��S, �� �J�y� � LOT# �
<br /> SUBDIVISION PARCEL ID#�—
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q MOVE Q DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE Q SFR Q COMM Q OTHER �
<br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q OTHER
<br /> DESCRIPTION OF WORK ��`/JLE' �L' � � � � E? G�-� D LY f' /i� x!� �
<br /> BUILDING SIZE SQ FOOTAGE HEIGHT
<br /> BUILDING $ �j n �c VALUATION OF TOTAL CONSTRUCTION
<br /> / G'
<br /> � ELECTRICAL $ ,-� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
<br /> � �� � �d�� �� �s
<br /> 0 PLUMBING $ ��� � �
<br /> � �Z7
<br /> �MECHANICAL $ � O - VALUATION OF MECHANICAL INSTALLATION '�
<br /> ��
<br /> � GAS � ROOFING 0 SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �NO
<br /> ���y � 1
<br /> BUILDER �- –�i �p����'`�� COMPANY �e L�� �� �SLi-� . � AN.I'Ti /v/�
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address � �� `' D c� /�C' � ,��l �`/� /�� ��� � License# C G Q�9�l %
<br /> ELECTRtCIAN C� ��� COMPANY �•.� '7 �r `� 5 S �--��� "t�
<br /> SIGNATURE ��\ REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address 5 � ^-� �� License# �C��%� Tc�
<br /> PLUMBER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address License# �
<br /> MECHANICA � , � �`�� COMPANY �^S �Q"'!��c �
<br /> SIGNATUR � V� REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address License# f
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
<br /> Address 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(70)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
<br /> Sanitary Facilities 8�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 8 1 dumpster.Site Work Permit 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 /> Directions:
<br /> Fill out application completely.
<br /> Owner&Contractor sign back of application,notarized
<br /> If ove�$2500,a Notice of Commencement is required. (AIC upgrades over$5000)
<br /> ** Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (Front of Application Only)
<br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
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<br /> Drivewa -Not ovdr�ter,if.�or�public roa�iyvays..needs ROW .rw.�rw.,�n,,,,�,��,,,,�,�,,
<br /> et�, � � , �F. ,.. !-3i°�?';" r 1a+.1.t .� . �
<br /> �.��r �� ,r .,fr;, �� . _ n , „ :} ' i,.�:n�l�>><',sbt?, �, � .?�'F ,��r;
<br /> p�6't:}` „� , � � � +", ri� � 2rr; tSkL'#:<�i���..? r��r�y. .i,�': ' ;�,�'
<br /> ,'��,d v�f- '�< , . � � !��£',$ �^ M '� y ��,r e • 'w'eip�:
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