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• ` s�3-rao-oo2o City of Zephyrhills Permit Application Fax-873-780-0021 <br /> Building Departmenl <br /> Date Received �j/z�/��, Phone Contact for Permlttln _ !7� '7�GJ — �P U D"D <br /> i—�-.i.�--�—�.•��- �—� r�� �1� <br /> Ownar'sName �Y$•('" CO /!lU LLF2k.. OwnerPhoneNumbar �"' I�S` I�� <br /> ��0 5t� .��. S �� 33101 <br /> Owner's Address Owner Phone Number <br /> Fee Simple TlUeholder Name Owner Phona Number <br /> Fee Slmple Tltleholder Address <br /> JOBADDRESS �77�� � UCI z�e�ti rL,�, � �J� j LOT# � <br /> SUBDIVISION �(�I�f7��'I!1 riJ� PARCEL ID# ����5 r��" V��� ' �V�V�-� !�0�� <br /> {OBTAINED FROM PROPERTY TAX NOTICE7 <br /> WORK PROPOSEO � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK' �GZn .U6V -C�c.IS�)� \ f T {�l� �lst.�� ( '^a'�— �' �T !1'�"� !F�� <br /> BUILDING SRE SQ FOOTAGE �Z HEIGHT � <br /> QBUILDING 5 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERC�Y Q W.R.E.C. <br /> QPLUMBING $ � <br /> [�MECHANICAL $ ���.y, �� VALUATION OF MECHANICAL INSTALLATION ��y) 1�� <br /> 0 �) ( � <br /> r?�� <br /> QGAS Q ROOFING Q SPECIALN � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUftRE� Y/N <br /> Address L(cense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRFJ� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> 31GNATURE REGISTERE� Y I N FEE CURREA Y/N <br /> Addreu License# <br /> MECHANICAL COMPANY +CtL� Jr P�14��7!���-, <br /> SIGNATURE G�' �� REGISTERED N FEE CURREA Y' N <br /> Address � �4W �`�SS7Fb'C�l � J't"�.d.3 License# �(�!lc,. ���J�V7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y/N ' <br /> Address License# <br /> i � � � � � � � t � iiiii � � � � � � t � � o �.i � a � � i � � o � � � � � � i � � i � i � � � i � i � � � � � i � i � � i � t � <br /> RESIDENTIAI. Attech(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;RA-W Pertnit for new constiuclion, <br /> Minimum ten(10)working deys afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary Faclll0es&1 dumpster,Site Work Permit for subdivisions/lerge proJects <br /> COMMERCIAL Altach(2)complete sets af Building Plans plus a Lite Safely Page;(1)set of Energy Forms.R-O-W Permit for new consWctlon, <br /> Minimum ten(10)working deys after submittal date. Requfred onsite,Constructlon Pians,Stormwater Plens w/Sllt Fence Installed, <br /> Sanitary Facili6es 8 1 dumpster.Site W ork Permit for all new projects.All commercial requirements must maet compliance <br /> SIGN PERMIT Altach(2)sets of Enginaered Plans. <br /> •'••PROPERTY SURVEY required tor all NEW construction. <br /> Directlons: <br /> Flll out application completely. <br /> Owner&Contractor sign back o(applicetion,noterized <br /> I(over 52500,a Notice of Commencement is required. (A!C upgrades over$7300) ' <br /> " Agent(for the contrector)or Power of Attorney(for the owner)would be someone with notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITfING (copy of conlract required) <br /> Reroofs if shingles Sewers 3ervice Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driv¢ways-Not over Counter if on public roadways..needs ROW <br /> / <br /> ,\ <br />