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� , _ <br /> ' 813-780-0020 City of Zephyrhills Permit Application �- Fax-813-780-0021 '' <br /> t ,: <br /> , Building Department �Sd����G;��� ;;����nr CO/ri <br /> C� <br /> ;_ <br /> Date Received . �� � Phone Contact for Permitting -- �t <br /> �T�rr7� <br /> � � � Owner Phone Number �� "�Z'. l �7� 0 <br /> Owner's Name a � � <br /> ; Owner's Address I a6Do`L-Cc l e ca r- 1�r TG-iy.�✓Jc,�� 3�Owner Phohe Number � <br /> ,`. <br /> Fee Simple Titleholder Name �.m 'L Owner Phone Number :� <br /> 1 ' <br /> �^�. �j <br /> Fee Simple Titleholder Address J�Q/>'�''�- E' <br /> {; <br /> JOB ADDRES. ��I�/I Cc�'/`� ,[e -� �/r� _ (.�� L0T3# � a � , <br /> � <br /> SUBDIVISION ' ✓ 1�� �'��� �� PARCEL ID# ���ra6r�� +���`������t'f���� <br /> (OBTAINED FROM PROPERTY TAX NOTIC� � <br /> WORK PROPQSED �NEW CONSTR e ADD/ALT 0 SIGN 0 � 1 DEMOLISH <br /> INSTALL REPAIR � <br /> ;: <br /> PROPOSED USE �� SFR Q COMM 0 OTHER ,'. <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL 0 r� ' <br /> �� �� L � �J�� b�-�-,�, ��a�-� <br /> DESCRIPTION OF WORK n S�� ����m-� ��S��c�CG <br /> BUILDING SIZE S�FOOTAGE ���� 1.' � <br /> HEIGHT �3 <br /> �. <br /> ITr1�1"r <br /> i� <br /> �BUIL ING � ����� VALUATION OF TOTAL CONSTRUCTION , � I <br /> DELECTRICAL $ ���� AMP SERVICE 0 PROGRESS ENERGY �� W.R.E.C. <br /> �: <br /> �PLU BING $ ���� (,/�v <br /> � " <br /> � ' <br /> ;; <br /> �MECHANICAL $ ���� VALUATION OF MECHANICAL INSTALLATION i� : <br /> OGAS Q� ROOFING Q SPECIALTY � OTHER ;; <br /> FINISHED FL OR ELEVATIONS �/� �� FLOOD ZONE AREA DYES NO �; <br /> §; <br /> -f-�F-�1-1--l�-1-1--�1-E-1-�f-f�-L-�-1--1-1-1-1-f-1--1-�f�-L-1-1--1-1-1-�1-��-1--1--1-f�-1--f-1--f�1--�1-f-1-�' • • :'.• •� • • 1--4-1-1-1- <br /> BUILDER � ���_,�r COMPANY ��� - �v��''� �I''e <br /> SIGNATURE REGISTEFED Y/ N FEE CURRE� Y/N ; <br /> Address ������'C��CO/�'� /' r" �M � License# ��C-D�R'O�" 2 <br /> � <br /> ELECTRICIAN �`� COMPANY �� IY1On 5p� ���e-��� � ' <br />� <br /> SIGNATURE ' �� �� REGISTERED Y/ N FEE CURRE� Y 7.N <br /> Address �� � S f�� I��r /'}�'?G M �" License# �'��3�5 a� <br /> PLUMBER � � COMPANY Gl a'rn ���Td /1 '�i t'9�"�-s <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y�N ' <br /> Address� ��y� L� �� � �v� �6L License# G�� �y2��� <br /> MECHANICAL �� COMPANY �l�D r�5�� �� ��r�y S'�-Cr" f <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/.:N <br /> Address S�D� �$�c/��� ���-I-r�l C�'� License# � C-D " <br /> OTHER ���,/�_ COMPANY T� 1 �l Cr�'� 1���n ' ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address� [B�P� � ��1' .s7�" /�r� � License# � la-�?=� �� � 1 � <br /> Illllllllllllllllllllllllllllllllllllllllllllll �llllillllll`;11' lllllll , <br /> RESIDENTIA� Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, i� <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 /> COMMERCIILL Attach(2)complete sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit fornew�onstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans Nf/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. ' ' i <br /> ****PROPERTY SURVEY required for all NEW construction. ' <br /> s <br /> '�C�+'�L�1�1�1..��4�4�I�I..I�I�f�{�1..'...i.:��i�l.�l��l..��l�i�1�4��1..1.�1�1..4�{..�1�1..�1-�1���' • • • • • • • ■ 1--4�L��� <br /> Directions: ' <br /> Fill out application completely. '� <br /> Owner&IContractor sign back of application,notarized , <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) � <br /> ** Ageht(fir the contractor)or Ppwer of Attorney(for the owner)would be someone with notarized letter from owner authorizing�"same <br /> OVER THE CDUNTER PERMITTING =;=='=;-(copy'of contract-required)w�s_ > ��; ;.;��;::•~.� : � <br /> Reroofs if shi�gles Sewers -Service Upg�atles A%C'` Fences�.(Flot/Survey/Footage) • , , .�- � , , - � . - �, <br /> -; ;:� `i? ;;�. <br /> Drivewa�s-Not over Counter if on�putil�;c'roadways.rneeds ROW ' , ' ':':_.',_ •` • ' ; � ' _: ' ' , _� ` ' • , <br /> �`: �e:_..--- - �.. -_ �. . ::.- . ,,. - .,,. , .„_ , _ F <br /> ' I <br />