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i <br /> . 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Permitting ��7 � - �� <br /> Trl-I-fTr� I I 1 � <br /> /' <br /> Owner's Name D �� IruS ' O�Se Vr Owner Phone Number <br /> Owner's Address <br /> y��3� � ��alc. Dr• Zh�'.��SS OwnerPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address <br /> I �� � <br /> JOBADDRESS sy 3 � �S'F, �L° �i��S rl. 33Sy� LOT# L!�—� <br /> SUBDIVISION PARCEL ID# l I-��-a 1 - ot� �— 6��6a - 1 d�d <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT ID SIGN � 0 DEMOLISH <br /> B INSTALL e REPAIR I <br /> PROPOSED USE Q SFR Q COMM I� OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 1�-��O V e (" �'e �i. 1 � �ll��'-'{'G,� <br /> BUILDING SIZE ����� SQ FOOTAGE� HEIGHT <br /> 'TT'TT��TrTTi�Tt�OTT�T�TI"7TrITTIT�T�Ti�T1�ITT�TT�TI�TT�P <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 'QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ \ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �``p�� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -1-1-1--f-E-t-E-d-F-1-i-i-E-a-�H-i-1--f-1--1--4-F-1--1-I--FI--f--�-F-f-1-f-�--H--F-I--1--1-1--1-1--i--4-F-f--1-1-1--1-t--F-f-1-i-H+F-�-t�-f-1-1- <br /> � �� <br /> BUILDER f�OMPANY L{Gt ct, /I WL <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address CY�5 L c�6'�' �� '2�i us � 3 � ��� License# CI"`- O S c� Sl 7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address � License� <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN .Y/N <br /> Address I License� <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> Illliiillllltllttllllllll '111tittltllllllllllttlllllllllllti11111111 <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 SafetylPage;(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.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *"'PROPERTY SURVEY required for all NEW constructioni <br /> .�a-1..1-l-i..l-1--4.1-1-i-f..F-�.6�-L-4-f-i-f.-�i-�-f-1-1-f-1-1--1-1--1-L-f-i-{-i.�1-1..�1-1..1-f..l..f-I..I..i-f..l-i-I..f-L-i-1-1..4.�!-E.�-1..�1-f� <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 upgrade i over$7500) <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 if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />