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eis-�eo-oo2o City�.of Zephyrhills Permit Application ' F, ' Building Department . ` , , , ;i � ''� � 1 2 Date Received Phone Contact'for Permitting -� '� � Owner's Name � 1� � cy �-. � Owner Phone Number J��• � _� . Owner's Address �o`;�o�o��'C�� P"" �f �G-/rij/��3� � /Owner Phone Number �a. � . � Fee Simple Titleholder Name G.r�� 'L Owner Phone Number 7 � 1 � �,,. :� Fee Simple Titleholder Address JOB ADDRESS l/�` _ � � �� !�' E I �'� LOT# �� ., SUBDIVISION ��l �•G�'� �� PARCEL ID# �� °'��"J�/` ��P��J��`�� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED �NEW CONSTR e ADD/ALT � SIGN Q � �s DEMOLISH INSTALL REPAIR PROPOSED USE �` SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q , ��. DESCRIPTION OF WORK r�� S��/��m-7 �, �'es��c-/LC'G �� bo�.'��'� '��40�"� �� i BUILDING SIZE S�FOOTAGE H�IGHT � rTi�1TT�r T OBUILDING $ �� % �o� VALUATION OF TOTAL CONSTRUCTION � 't, QELECTRICAL $ �� AMP SERVICE � PROGRESS ENERGY '� � W.R.E.C. �r �PLUMBING $ �� -�s�� ,.� I �� MECH . '+ l� 0 ANICAL $ �� VALUATION OF MECHANICAL INSTALLATION �� � ''� � OGAS � ROOFING Q SPECIALTY � OTHER ;j S FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA �YES NO ?; � -�1--4-H-�1--1--1-1--1--F-1-i-1-1--b-�1-�1-1-1--1-•i-1-�f-f--1--4-1--1-1--f-�f••1-1-�--1-1--1-i-1-•1--F-1--f�-1--{-�• • • • •'• •1• • • 1-1-�4-1--1- SIGNATURE D � � COMPANY �� h - �1 U.�d-C��-�► ��r-C REGISTERED Y/ N FEE CURRE� Y+/N'_ Address ��6�0�7'C��Ca� ,�r' J is-� � License t� �T�JC-��0 � � ELECTRICIAN COMPANY �� lY10��pn ��'��-Tr'!,C:. ' SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y�%N _ Address I-�3 � 5 k� I��r ��?G� �- License# ��l 3�� d� PLUMBER � � COMPANY 1.,��/'/'1 Cl'S'ta /1 �-��'-�S �IGNATURE �� REGISTERED Y/ N FEE CURRE� Y N •� ,. . Address "�l y�p G�` GQO � �u i-,� LGL License# G�� t y2��.2 MECHANICAL �� COMPANY �I�O r�55 i ��e- (-1 i r�y s-I-�er►-� r SIGNATURE REGISTERED Y/ N FEE CURRE� Y;�N � Address 5�D`� a.s/�jc,Pf'f, �or.�-�JC/�,� License# V C.� �y, �y ;� : OTHER �� COMPANY I� 1 ��G-r'� ��Q-� 1 n � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address !� `�I"� f �?�1' ,57�- /�,c,� � License!f � W;�� � � t � i � t � � � � � � � � � � t � i � � � i � � � � � � � � � � � o � � � ii � � � t � � �i � � � � i � � ii :i� � ii � � i � � � RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms;�R-O-W Permit for new construction,;i Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plahs yil/Sllt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects � COMMERCIAL Attach (2)complete sets of Building Plans plus a_Life Safety Page; (1)set of Energy Forms. R-O-W Permit for;hewi construction. Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plahs yi�/Sllt Fence installed, Sanitary Facllities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must mee�compliance SIGN PERMIT Attach(2j sets of Englneered Plans, � ****PROPERTY SURVEY required for all NEW construction. -i..l.�l-a--L-4-1--{-1.-1--1-{-.1-.I-1-.I..L�I--�-�1-4:�-1.�-��1--f-.1.-1-�a-1--1--�-1--I.a-1-1--4-1--f-�1--1-�1--�-1..�1-.�.-4�• • • • :; • i • • 1.-1-.F-1...1� Directions: Fill out application completely. � � .. �. Owner&Contractor sign back of application,notarized ' �� ' ' . ��. 1 If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) *'' Agent(for the contractor)or Ppwer of Attorney(for the owner)would be someone with notarized letter from owner authorizing�sarrie OVER THE COUNTER PERMITTING (copy of contract required) " I Reroofs if shingles Sewers Service.Upgrades A/C Fences(Plot/Survey/Footage) , , `,i � Driveways-Not over Counter if on public roadways..needs ROW " . �t � ,., . ., . ;� , . _ � � �4 . i . � r��, ��i .S