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813I780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Receiveil ,+ p U <br />' I `6 `�i �C Phone Contact for Permitting D 0� �! �-� /�� � <br /> -IT• <br /> Owner's Na e � � CS � �.-, � Owner Phone Number �Y `�L . � �J�n � <br /> Owner's Add ess ����a���e �� ''y" �f T�n"/�c�3 ��Owner Phone Number <br /> � <br /> Fee Simple T�tieholder Name �,r► � Owner Phone Number <br /> 1 • <br /> Fee Simple T tleholder Address <br /> JOBADDRE S �L D.S�� �G�/`1C�'�' �i.nE+ �� LOT# � � <br /> susoivisio ��1 ���r'� �o PARCEL ID# �`r�����`��"���o P ���� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> L WORK PROPOSED �NEW CONSTR e ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDISE �� SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIO OFWORK r�� 5���j�c7�r►'�-71, I�S�c��C� ��J�oQ�bQ-'�"'� �-�J��-` <br /> BUILDING SI�E SO FOOTAGE 3 3`? �e�` c/� HEIGHT <br /> QBUILDING�' $ . T rrr <br /> /JS(f��. VALUATION OF TOTAL CONSTRUCTION �,j�SC�C< <br /> QEL CTRICAL $ p��� , o� AMP SERVICE fSC� � PROGRESS ENERGY � W.R.E.C. <br /> O <br />� �PL MBING $ �5�._ � � �"I�O <br /> ME� HAN m , � � <br /> 0 ICAL $ ��0�� a VALUATION OF MECHANICAL INSTALLATION • ° �� <br /> OGA �� ROOFING Q OTHER �� <br /> FINISHED FLI OR ELEVATIONS o �F . � <br /> �� �,v FLOOD ZONE AREA DYES N �'i-� Y�I��� 1'Zi <br /> 9 � lja. <br /> -�-i-1-1-�� F�1-�4-{��f-�1-�1��1-1-1�0--�1-1-�-�I��F�1-1�1��1�1-1-1-��1-�$� ■ ■ • • ■ ■ ■ • ■ • • F-1�1-F� <br /> BUILDER D � � COMPANY �� T - �1���^+ l��e <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y:�N <br /> Address ��6�0�����CC�!+� ,�r' !M � C1 C.O��O G� 2 <br /> License# � <br /> ELECTRICIA �`�� COMPANY �� I�Y1 D���� ��'�C--�',r'�.L <br /> ' SIGNATURE �� REGI5TERED Y/ N FEE CURRE� Y 7 N <br /> Address I �� N 5 K� 1��� /'s��G� � License# �'�i 3cxs5 C3� , <br /> PLUMBER � � COMPANY 1,,��l`�/'! L�/'�'�� ll �-l., /B"�S ' <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y`�N <br /> Address � '�'�y�p �[i �(� j e �v�^•< L6�. License# V FC �y.2 D %D s6- <br /> SIGNATURE �� COMPANY �r0 r�sv� �� l�i��y s�� r <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address S�D� �sfj���'�. ��,,,..�,�T L�+er_ License# � C.0 <br /> OTHER ����_ COMPANY T� 1 ��Crr'� ���n <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address (� `�"�6 � �'�1' .�7L ��;ri � License# � ��� 1 � � <br /> 111111 111111111111111111111111111111111111111111111111111' lllllllll <br /> RESIDENTIAL Attach (2) Plot Plans;(2)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 Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)complete sets of 8uilding Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for hew construction. <br /> Minimum ten (10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans vV/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 required for all NEW construction. � <br /> —�i������������{�.�..�..�.���N��4.�������N..����.� ■ ■ ■ . S . ■ . . ��N� <br /> Directions: <br /> Fill out apl lication completely. , � <br /> Owner& �ontractor sign back of appiication,notarized: ' - " , � � <br /> If over$2 00,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ** Agent(fori the contractor)or Ppwer of Attorne for the owner would be someone with notarized letter from owner authorizin same <br /> Y( ) g; <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades•A/C Fences(Plot/Survey/Footage) ' � ' ' � <br /> .f <br /> Drivewayl-Not over Counter if on public roadways..needs ROW � . <br /> - ,, . , <br />