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i . � ; � , sisaso-oo?o - - .-- -- -City of.Zephyrhills Permit Application Fax-813-780-0021 • �� i� :,.. , ; , , , i. Building Department - � - . - --- ----•-� , � � , � , Date Received � � " ? p � � ' �� —�/�� ,Phone Contact for Permittln p/.3 �`�'� ' - '-'S / Owner's Name `' L_ ; -O�/d p� c/� o G�C ` /,,�GLG �,s ,�.e � Owner Phone Number -1 �- 1-TZ � -` � �'1 5'u�4/r�/f Z. Owner's Address � I g� �� S7` 3�� Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number i i Fee Simple Titleholder Address ' � JOBADDRESS •z � !G jQ� - ��` �S —L 33 y OT# � / SUBDIVISION �S�I ��S PARCEL ID# �y-��'-� ��' ddd�-d jJld v 'O� 'I�'!� • � (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e , NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q � > �• � / �/ DESCRIPTION OF WORK j� /3 �O X /I /v �� - c�� r�cT�t 707 �� /D � � � BUILDING SIZE I SQ FOOTAGE 3a 3 HEIGHT 'TrTT�T�ITT�IT�TT�T� I�ITT�ITT�ITI�rIT'TTf�T�T1�T1� �BUILDING � ' �� VALUATION OF TOTAL CONSTRUCTION 'OELECTRICAL $ �� II (y ' AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. OPLUMCiING $ C-� � - � � �� � �� 6 . QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO -�f--1-F-1-F-�-F-0-f-1-1-1-1-1-f-1-i-1-f-f-I-I-1-I-i-i-f-i- 1--1-�1-1-1-�E-f--1-f--1-f-i-f-f-1-1-f-1-1-1-i-I-1--1-F-H-f-a-f-1-�-1- ,�S � , / BUILDER � COMPANY ��S 7Y //7u1� SIGNATURE REGISTERED Y! N FEE CURREN Y/N Address ,r /-7�! �C�2 /cc� ��r/�� .T�/d'-' License# C��-t.. �.��s �7 � /� ELECTRICIAN � I -- OMPANY Q✓ SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I 1 License# i �j� 6 UL d��^ PLUMBER _� � L`OOMPANY SIGNATURE i REGISTERED Y/ N FEE CURREN Y/N Address I t . License# � �, / MECHANICAL I ' -COMPANY .f S SIGNATURE � REGISTERED Y/ N FEE CURREN Y/N Address `�y l I oc ��!?/�� 3 �� License# C�C 0 y ��/d' " I OTHER ` COMPANY SIGNATURE I REGISTERED Y/ N FEE CURREN Y/N i Address � License# IIIIIIIIIIIIIIIIIIIilttll '1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItI RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects 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. Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance - SIGN PERMIT Attach(2)sets of Engineered Plans. '***PROPERTY SURVEY required for all NEW construction. ��.�-f-f-1--4-f-f-{--1-I..f-{-�1-1-1..6..1-f�1-{..f-1-f-1..6-1--f-1-f-1-1-4-f-i-1-1-�.a-f�-f-{-1..1-I..f-i-f-I-I-fa.�i-f.A-4-1-t�f-i-�-i.a-4a-1�1.. Directions: • Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) `• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Seiice Upgrades AIC Fences(PIot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW i I