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i <br /> s�3-7so-oo20 , i City of Zephyrhills Permit Application _ _ _ -_ _ FaX-s�s-7so-oo2� <br /> ' � '� ' • Building Department � ' � � <br /> � ,.�^ , , - ' „ <br /> Date Received �-!,� i ' - p _ / <br /> Phone Contact for Permittin � o - _,7 3/ .� , <br /> TrITI-IT� � <br /> - --- �/'�' / ' .__ _ ,._. - i <br /> Owner's Name C 'r�- /`j[.LG � (/`-fNe S�P{� Owner Phone Number 5`�!3-�5' - <br /> /+ / Scct�tsJol�I�4 2. J S�s'1 ' <br /> Owner's Address � (.G 6tG,C S'TC �3/ Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> I ' <br /> Fee Simple Titleholder Address , <br /> JOBADDRESS �a 0 ��GC/"e� �/a `� ���� �S -�C• 33 sy2- LOT# �� � <br /> SUBDIVISION � �%C ua-( PARCEL ID#�y'��o"�� -�DO�-��ad- Q°9 � � <br /> ! (OBTAINED FROM PROPERTY TAX NOTICE)' <br /> WORK PROPOSED e , NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q IBLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK �DI W'�c 1� l` v�'i�'�L��'1 Yh � I�l k�! � w/K�d!� <br /> BUILDING SIZE �X 3 v I SQ FOOTAGE �� U HEIGHT <br /> �TTI"IT�TTrtTI'TI�TIT1�1T1�TI�ITrITT1Tt�1�ITTT�IT1�Tf TTP'TI�TI�T1� <br /> �BUILDING �1q pQO.d D VALUATION OF TOTAL CONSTRUCTION y�, � � t G✓ <br /> '�ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � / <br /> � GLY <br /> i <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO (� <br /> 2�-j�. <br /> -1-i-1--F-1--1--f-I{-1-1-4-�1--I-1-1-f-i�-1-1-1-/-I-I-1--1--I-I-1-1--E�-i-f-1-f-I-1-{--F-�1-H-1-1--1-I--1-1-F-1-1-I-i-1-F-a-E--1-1-f-i-1-E-1-f-i-i-E- ' <br /> BUILDER � ' � ��OMPANY LllfS �Y�P �4!!�f/YIUk^ <br /> SIGNATURE I � REGISTERE� Y/ N FEE CURREN Y/N <br /> Address c�l��/ ��•�G�7y � �lti`�S' �-� �3Sy y License# �Q�i2 0�� � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# � • <br /> PLUMBER I COMPANY <br /> I SIGNATURE I REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> � <br /> MECHANICAL � COMPANY I <br /> SIGNATURE I REGISTERED Y/ N FEE CURREN .Y/N <br /> I <br /> Address I License# <br /> OTHER l COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> 1111111111111111111 �111111 '111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2y 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 Pians,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 d�mpster.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 /> -�-*-1-i-I-�--4-I--1-�4-t-t..{..i-f--1-1-i t-(..t-1..{-1-I-1-L-t-t-{..4.i-{�i-{-1-�-{.�1-1-{..1-{..f-i-f-i�-I-{�{-1-f�-f-i-f-f�1-��-1-f..4.foi.�1-{� <br /> Dlrections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commenci ment is required. (AfC upgrades over$7500) <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 if shingles Sewers Seiice Upgrades A/C Fences(PlotlSutvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br /> � <br /> i <br /> � <br />