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. <br /> r <br /> 813-780-0020 City of�Zephyrhills Permit Application Fax-813-780-0021 <br /> , ' Building Department <br /> j � <br /> DaYe Received ' � <br /> T�r I�r Phone Contact for Permitting . -- � <br /> :� p <br /> Owner's Na I e � � a � ,--. e Owner Phone Number �� "�1 . � �7�0 0 <br /> Owner's Address I a6D�-Cc le ca n-- j�r �Tc.iy,�lc,3� ��Owner Phohe Number I <br /> i• <br /> Fee Simple�Titleholder Name C..,�v�. � Owner Phone Number I <br /> i <br /> Fee Simple Titlehalder Address I <br /> JOBADDRESS ��6� ��� I�'�'/'� �� ��-/'�� ��� � LOT,# i � <br /> SUBDIVISI I N ✓ (�� ��r'� �p PARCEL ID# �� �� `� � �� �� ����� '� � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED �NEW CONSTR e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDIUSE �r SFR � COMM � OTHER <br /> TYPE OF C� NSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTI i N OF WORK r�� 5•'`'�'j����r►'�-� � I�S���G� � KJ�o�� b�'�'� �'���` <br /> BUILDING 8�ZE _ SO FOOTAGE � �� ,� ��� HEIGHT � � � �� <br /> �B I ILDING $ ������ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � ��� AMPSERVICE ��� � GY � W.R.E.0 <br /> � ��, k� � � � <br /> �PLUMBING $ ���� /� �� <br /> MECHANICAL � <br /> � $ �O G� VALUATION OF MECHANICAL INSTALLATION � <br /> 1 J'�^.'`''f T <br /> OGI S Q ROOFING Q SPECIALTY OTHER g�jCr I <br /> FINISHED F OOR ELEVATIONS FLOOD ZONE AR DYES O ��Q�',7 Z� <br /> �-1-1-1-�1-�1-i--1-i-1--1--f-1--1-�-1--f�-1-1--1--1-f--1-1-1-�1-1-1--1-1--4-1-1-i-� 1-1-�-1--1-1-1--f-�-• • • • • • • : • • • • 1--4•�•1--i- <br />' BUILDER � � � COMPANY ��� - �'1���'"� !�f'�-� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/,N <br /> I Address ��6�+�7'���CO/� ,�r' I iN � .' <br /> �icense# ��e-O34 0� 2 <br /> � Y <br /> ELECTRICI iAN COMPANY �. . G <br /> ' SIGNATURE� REGISTERED Y/ N FEE CURRE� Y 7.N <br /> Address , <br /> License# <br /> PLUMBER � COMPANY �� ' V <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Addres's <br /> License# <br /> MECHANICAL COMPANY ' v�� �`�� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y'/N <br /> Address � L' ense# <br /> OTHER COMPANY � � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� N , <br /> I <br /> Addres�s License# <br /> 1111111111111111111111111111111111111111111111111111111111' 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 /> i Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)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 submitfal date. Required onsite,Construction Plans,Stormwater 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 PERMfT Attach (2)sets of Engineered Plans. ' <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> --+--:-'.�:-'L..1--t�l..i�f.-1--4�1--1..�1--f•-I�S-�:�:..^1..�1�I..t�4�1..1..1�1-��1��..L-1--�-�1..�..1�1..1..1�1--«• • • : • • • • I..t��1--f� <br /> Directions: II <br /> Fill out application completely <br /> Owner 8�Contractor sign back of application,nofarized " ' <br /> If over�2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> � <br /> ** Ageht(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 (copy of contract required) <br /> Reroofs if shi�ngles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> I , ,- > . , . <br /> Drivew�ys-Not over Counter if on public roadways..needs�ROW ��;:n. " - <br /> I , - , • . _ �. '. , - • „ , � .� . ' � : <br /> � - � ,. • • _ , .. . � , <br /> � - <br /> i - .: ,_ .,,.. - _ . , . , <br />