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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , ' Building Department <br /> DateReceived .� Z2���� phoneCantactfarpermitting�( � t� �_!_0� -,,,����t <br /> i rr-�-rc-�r,-r ..� ,...,-r-�r-.. <br /> � Owner"s Name G7 G. —�(.. ��5 L-LG � �CtY� Owner Phone Number <br /> Ownee'sAddress (,���1 �'�Gls1�/{'�G�„/,c._�fE-� � �z OwnerPhoneNumber � <br /> BSd�I � � <br /> Fes Simple Titlehoider Name Owner Phone Num6er <br /> � <br /> Fee Simple TiUeholder Address <br /> �� � <br /> JOBApDRESS I.L�LP C./ � N i� LOT# �� I <br /> St1BD1VISi4K �t9�T'lC C.��-Ll�� PARGELlD# Y�CO'����L1�t1`WIC�(�'�� G � <br /> (OBTNNED FROM PROPER7YTAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR I� ADDfALT � SIGN Q Q �EMOLISH <br /> lNSTALL Q REPAIft <br /> PROPOSED USE Q SFR Q GOMM � OTHER <br /> IYPE OF CONSTftUCTlON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION pF WORK � 'fc� � �L� L <br /> Bt7ILDiNG S1ZE �!4 J�� � SGt FOO7AGE�_r��Y� HEIGHT �� � <br /> rrrr�rrmrm�rrrrr�rrrr�-rrrr�rrmrrrn�rrrr-e-�-rrn-�-rrm-rrm-mrrr-mrrr� ,� / <br /> QBUfLDING S���� �,` VALUA7tON OF TOTAL CQNSTRUCTION ( � �� <br /> � t <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUM8ING �� �-t ..` f`��1 � <br /> r I <br /> QMECHANICA! $ VALUA'f'lOi+!4F MEGHAId1CAl lNSTALlATSON '�-% � T ` <br /> QGAS Q ROOFING Q SPECIALTY � ������✓, " <br /> � OTHER <br /> F(NISHED FLOOR ELEVATI4NS �� FLOOD ZONE AREA QYES NO "`� <br /> —.—F-:—:—:—^:—:-ir:—:-:i-�^:—:—e�':�.C-�7—'f�:—:—'�' � ,--r;-:.�:—:—:-r�:-;i—C.;Ta'—'y—:—:�-�:—ii'��'�.-�•--e—'-•—C—::.+ <br /> � 1 �J � � f <br /> BUILpE12 �� COMPANY L�. !Y't M'��G�C�/r!LC I^�"-- <br /> SIGNATURE ,� i�lis � REGIS7ERED Y! N FEECURREp Y/N�— <br /> Address � i� /L it !� �f1%�.S �� y� license# ��-Q(�(n(�� <br />' ElECTRIGtAN GOMPANY � <br /> S1GNA7URE �— � REGiSTERED YI N FEECURREt� YIN <br /> Address License# � ! <br /> PLUMBER � � COMPANY (.�.. � <br /> SIGNATURE � REGISTEftED Y I N �FEE CURRE� Y/N <br /> I <br /> Address License# � <br /> i � �MEGHAA2tGAL G4MPANY <br /> SfGNATURE REGISTERED Y! N PEEcuwaEn Y/N <br /> Ad@ress License# � � <br /> OTHER COMPANY � � <br /> SIGNA7URE � � REGIS7ERED Y/ N FEE cuw�� Y/N <br /> Address License# � � <br /> IIIIIIIIIIIII.IIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111 <br /> RESIDEFiTtAL Attach{2}Ptof Ptans;{2}sefs ot Building Plans;(1}set of Energy Farms;R-0-W Permit for new ca�struction, <br /> Minimum ten(1Q)working days afler submittal date. Reqnired onsite,ConsWotion P1ans,Stormwater Plans w/Sitf Fence instalted, <br /> Sanitary Facilitfes&1 dumpster,Site Work Permit for subdivisions4arga projects <br /> COMMERCIAL Attach(2)complete sets of Buflding Plans plus a Life Satety Page;('1)set of E�ergy Forms.R-0-W Permit for new construction. <br /> Minimvm ten(10}working days after submittal date. Required onsite,ConsWctlpn Plans,Siormwater P(ans wt S3t#Fence instalied, <br /> Sanitary Facilitles 8 7 dumpster.Site Work Pertnit for ali new projects,Ail commerciat requirements must meet compiiance <br /> SIGN RERMIT Attach(2)sets of Engineered Pians. <br /> ""PRQPERTY SURVEY required for ail NEW construcdon. <br />� -d-l--1.�-i�-i-l�.I�-i-l--i-l-i-#l--t-.:-!�:-S-Fi-I-I�-F..i-i�-i-t-t-I.-t�i-W-i-t�-E.i�-i-i-I..S.d�-L.i�i-�f-i.d-i-i-I-t-l--i--b.l-�i--t�i-. <br /> Dtrections: <br /> Fill out appiicatlon completely. , <br /> Owner&Contractor slgn back of application,notadzed <br /> if over$25U0,a Notice of Commencemerit is requtred. (AlC upgrades over$7548) � � <br /> " Agent(for the conUactor)or Power of Attornsy(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER P.HRMiTTtNG (copy of conttact requtred} - - .. __ ._ _ <br /> Reroofs if shingles. Sewers Service Upgrades A/C Fences(PIotJSun+eylFootage} <br /> r'" ' ' <br /> Driveways-Not over Counter[f on pubiic roadways,:needs ROW . � <br /> , � . , <br /> � _ r <br /> � , <br />