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� a��•-�so-oozo Ci#y �;f Zephyrhills Permit Application Fax-813-780-0021 y I . . , z' Building Department Date Receiv�d \ -� � �f'� �`�G� /��-'�� ��r�T �d/�� Phone�nntacR•for Permitting � , Owner's Na I e 1� � a � �-.. e Owner Phone Number ,�y�'Z'. � �lv•f! �, , Owner's Address �a�oa��a �' �•� �c./y►�v'J�3� ��Owner Phohe Number- , � Fee Simple�itleholder Name C.m� � Owner Phone Numb�r � . Fee Simple�itleholder Address JOB ADDRESS �� '�'1 �' '� r �'��C ��' LOT# � � SUBDIVISIO �l�l �'�('� �O PARCEL ID# 4' (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED F--{ �NSTALLSTR B R�EPAIR � SIGN Q � � DEMOLISH _ LJ , PROPOSED USE �� SFR Q COMM 0 OTHER TYPE OF C NSTRUCTION � BLOCK Q FRAME � STEEL Q DESCRIPTI N OF WORK rCC� �j'�/�(�'��r'�'►-j � I�Sl��-/LG� �� KJCu�b" bt�'�"� �'r��` BUILDING S��ZE S�FOOTAGE �� y/6�� HEIGHT ' ,� 1"ITT�Tr � T �BUILDING $ `�' � ` VALUATION OF TOTAL CONSTRUCTION ��l/�� ` f� (� �� , QEL CTRICAL $ �D�� cG AMP SERVICE %�d � "PROGRESS ENERGY � W.R.E.C. �PL MBING $ �� i - .� ` � �I OM CHANICAL $ � yo VALUATION OF MECHANICAL INSTALLATION • ` � �UO�• ��t�-�� OG S ��ROOFING Q SP fAL� OTHER FINISHED F OOR ELEVATIONS ��^/ � �r FLOOD ZONE AR �YES NO f�� a/e��t SZ t- ✓ -1--F-1-f-1- 1--4-f-1-�1-•F-f-1-1-F-F-1-f-�1-1-1--1--F-f-��1--1-�{•d�-f-1-�1-1--�1-1--4•�1-{�••1-�•�-1-a-�• • • • • • • • • � • • 1--1-�1•-1- BUILDER � � �� COMPANY �� - �1��G^► �f'►-C SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addres ��o?�'C��Co/� ,/7 r' I is�+ c License# ��'C�� ELECTRICIA �`�� COMPANY ��" I�Y�O�� C-`L"r� G SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y 7 N ' Addres �� J f�� f��r r�.��G� � License# ��l�� C3� PLUMBER COiNPANY l�d/'�/'1 1Cl'�'�� lL °�/., Q"�S SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/.N ' Address � �y� �('�.r �� c �v� �L License# V�C �y2 D %d� MECHANICAL ��,/� COMPANY �J�D r�'Sc� 1 �� !`��f"'�y s`�� r SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addres S�D� cfsr�c��f. ��-,s�T C�� License# V C.�� OTHER ��, COMPANY � { ��Cr/'E'� �� /� � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addres �� j D`'�1' .��` �� License# � �� 1111111111111111111111111111111111111111111111111111111111' lllllllll _RESIDENTIAI 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 COMMERCI�L Attach(2)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,Construction Plans,Stormwater Plans vJ/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMI� Attach(2j sets of Engineered Plans. � ****PROPERTY SURVEY required for all NEW construction. �--r:--:-:-I•�..��f..l..l.�l..l..1-1-.i-�-1..1..4-�1..1-1-.a-.1-1--1--1-1--f-�4v1-.1..f-��1-1--1--4-f..l�l--1--e-1..��• • • : • • • �-1..�.-1..4. Directions: Fill out II plication completely. , . '+ Owner&��Contractor sign back of applica4ion,notarized ' ' � � ._ - ' . ., _ -, If over$2II500,a Notice of Commencemeht is required. (A/C upgrades over$7500) ** Ageht(fdr the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing;sarrme OVER THE CI UNTER PERMITTING (copy of contract required) Reroofs if shi i gles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) . _ , Drivewa s-Not over Counter if on public roadways..needs,ROW . , � � , .