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, -- ..__. ..... ._.._._,._ �s-�so-oozo��.-`��::__ �"" � _ ,-'��_�� City,;of-Zephyrhills Permit Application` � " '.�'��.Fax=s�s-7ao-oo2� � � ," , . .,- . _. ,_ �. � Building Department � � � � ,. . • „ ' I i � . ,�<� , . ,.�; _ Date Rece ved ( � �-'7�,a'..� , � � �j '�� . _! .�� � ' .:Phone Contact for Permittin TTIT III Tr �C - L.L C Q < �p f b -' 7�l-07�7 Sa- Owner's ame L �5' C e. Owner Phone Number I ` {�`� _�� L BS�,a I i /�/� `� Owner's ddress G(�Q G�C. /�'1 St.��" y� Owner Phone Nurtiber Fee Simpl' Titleholder Name Owner Phone Number I� Fee S�mple Titleholder Address JOBADDRESS �O v`eC/�F e� �%�,� (/� h �l�s I`�• 3�� LOT# � SUBDIVIS�ON a � ��-S PARCEL ID# � [^J �'� �r O b�� •OO L D a-' Q O R � (OBTAINED FROM PROPERTY TAX NOTICE) WORK P�OPOSED e , NEW CONSTR� ADD/ALT 0 SIGN Q 0 DEMOLISH INSTALL REPAIR PROPOS@D USE SFR Q COMM 0 OTHER TYPE OF I�ONSTRUCTION � BLOCK Q FRAME � STEEL Q DESCRIPI ION OF WORK L /�D�'1 S �Gi" ,l�� /✓z°E�'. YX �y 1 u y�.c� s:r—. BUILDIN i SIZE �a.1� SQ FOOTAGE `/I7• .3 HEIGHT �fTT TI"TT�TI�TI�TT�TI�ITITI�TT�T�TTt�ITi�T�TT�T�TTr1" ' QBUILDING � �/ ��O v VALUATION OF TOTAL CONSTRUCTION ��ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. , ' � ��o°� PLUMBING $ I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I GAS Q ROOFING Q SPECIALTY 0 OTHER FINISHEii FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO -1-1-1-��-�t--F-6--F-�-F-t-f-�--1-t--t--t--I--F-1-F-1-1-�--l-�t--t--F-�-1-t-1-�-I--I--1-1--t--f-1--�-I-1-F-F-i--6-F-�--t-t--f-I-1--t-F-f-�-f-�-1-1-i-� BUILDER `�� JO COMPANY GLk.S 2� `LC `ri u w� SIGNATURE �/-�� REGISTERED Y! N FEE CURREN Y/N Add�ess u� �jL �! � �n� ��S f� �� License# C2G�S�S%7 ELECTRICIAN �� /�� - _ b �� COMPANY l��TVYi G �PC�"/'j G SIGNATI�RE I`—�—_ 1 `,r�!/,�� REGISTERED Y/ N FEE CURREN Y/N I 'b� ,s3 7 ��t��S �=L. 33 s39 �icense# C/e�d0 0� �{ Add ess PLUMBI COMPANY SIGNAT RE REGISTERED Y/ N FEE CURREN Y/N Addl ess License# � MECHA ICAL �--� ��J� �a' COMPANY ��/�S �G SIGNAT RE � `t� REGISTERED Y/ N FEE CURREN Y/N Ad Iress y �.r � � Ir lS � 3 y� License# � c...Q 0 OTHER - COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Ad ress License# � IIII� IIIIIIIIIIIIIII111111 '1111t111t11111111ttt11111111ttt111t11t11it I RESIDEI TIAL 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,Storrnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMME C1AL 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,Construction Plans,Stormwater Plans wl Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN P RMIT Attach(2)sets of Engineered Plans. ""`"PROPERTY SURVEY required for all NEW construction. �--r• 1--k�f-t..4.{-1..1-L..f-f..f-i-hi..l-f-i-1-8-f-1..1-Z-1-f-�.l..{-1--{-I-f.a-{.�la-.1--t�1--1-{�-1-1-f-i-{-L.a-1-1--i-1-i�i..4-i.�{.a..k.i.i-1- ' Directions: Fill out application completely. Owner&Contractor sign back of application,notarized � If o'yer$2500,a Notice of Commencement is required. (A/C upgrades over$7500) '* Age�nt(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER T�E COUNTER PERMITfING (Front of Application Only) Reroofs i(shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Dri leways-Not over Counter if on public roadways..needs ROW . I I