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�,_°""-- ` <br /> �1 Fax 813-780.0021 <br /> s�aaeaoozo City of Zephyrhills Permit Application ' \ <br /> � Building Department � <br /> � <br />' Date Recelved �_ �l phone Contactfor Pertnitting �."� � G�.3' G <br /> Owners Name 7 fo ���� /-/0�U�n S L L C Owner Phone`Tt uinbe���3� Z(—���b + <br /> Owners Address ��°� /� �A�� ��' H�+j� ST� d0 Owner Phone Number <br />� Fee Simple Titleholder Name Owner Phone Num6er <br /> Fee Simple T7tleholder Address <br /> JOBADDRESS y"I 3�I �yrti S'f LOT# � <br /> SUBDIVISION ��Q r�f PARCEL ID# �N�Z'G�Z�^QO J p-00/00 - O 130 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />' WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> I PROPOSED USE � SFR Q COMM � OTHER eL��. 7�.I. o� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK ` C O (;(<r r0�- �,)a O r �J� L�� �3 sZ�•6 <br /> BUILDING 51ZE SQ FOOTAGE� HEIGHT � <br /> TTrIT11TTTrTITTrrTrT1"ITTrTI"ITTrTTr1TTITrTTrTI"1"I�TP7"T� <br /> QBUILDING $ g S��OO VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � 1�O� " - <br /> O <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> iOGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br />� �T���.T��������.-.-r���.-.-.�7����T,L������fC G 1 S I o✓1 •�r •d'C f V�G t��.�� <br /> BUILDER U COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �3�737 14v"�MEto� ��- g�V� License# Ga�1'ts91G3 <br /> ELECTRICIAN ` COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Piot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnitfor new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion. <br />, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater 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 requfred for all NEW construction. <br /> -.�1-.4�4-1-t-.L-1-1-1-F4-�4-f-1-1-1-1--�1�-1-�1-.FI-.��t-.F�I-.t-t-a-.i-4-f-4-f-FI.-I-1.-F�1-�1.-t-FI-.�1-.4�I-.�I-.F�1.-1-1-.f-+- <br /> Directions: <br /> Fill out applicaUon completely. <br /> Owner&ConVactor sign back of application,notarized <br /> I '+ If over$2500,a Notice of Commencement Is required. (AIC upgrades over 57500) - <br /> Agent(for the contractor),or Power of Attomey(for fhe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shfngles Sewe�s Service Upgrades A/C Fences(PIoUSurvey/Footage) � ' <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />