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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 8uflding Department <br /> Date Received phone Contact for Permitting �j O� - SJ� l <br /> owners Name C -r.'L�{�L�-G @� tL1G y Owner Ph ne Nurnqe( <br /> �!'l�'���arn,Pl�ac/c /�� 0 S�1�4�5��1 <br /> Owners Address ( /C-L' S� Owner Phone Number <br /> Fee Simple TiUehoider Name Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> /' / � � <br /> JOBADDRESS D% CL � � ' !' h�I�s `�' � LOT# <br /> SUBDIVISION Q � ��G ��S PARCELID#oC "��o'oZ I � O�uV � �(il/ �O� L u <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH � <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER ` <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �r" - ��x�� CQ'r Ur� oZ �L I • `rci�- arti G ��� `"�i��� <br /> BUILDING SIZE SQ FOOTAGE C3 0 HEIGHT C� <br /> TITrTiTTT1"7TTITTTITTR"rTrlTrrrrl'T�TT�TITrTrTTI"7Ti�I9TrTlTr <br /> ��UILDING $ VALUATIONOFTOTALCONSTRUCTION <br /> CJ60.0� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ���� <br /> QPLUMBING $ j,�' / � <br /> 7J / <br /> � �IV7✓ <br /> _ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �f � i <br /> t �� <br /> QGAS Q ROOFING Q SPECIALIY 0 OTHER � ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> -�.--.�-.--r�� ..-.-�T��:��F:-:�.�:-:-r�:-F:-:�'.-::.���.-��:-F:-F�T�-:TT'r:�-:-^•.��- <br /> /�BUILDER `�� � COMPANY C�C.1'P /�c� �KLL I��� <br /> /� 7'� SIGNATURE ��1�vJ REGISTERED Y/ N FEE CURRE� Y/N <br /> 1" � � � �v� o��� <br /> I _ � Address � � �l`!s�sk�- LJcense# <br /> ��� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y1 N FEECURREA Y/N <br /> Address License# - <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N I, <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N �E curtRen Y/N <br /> Address License# <br /> IIIIIIIIIIIII.IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Fortns;R-O-W Permit for new consVuction, <br /> Min(mum ten(10)workfng days afler submittal date. Required onsite,ConsVuction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsW clion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes&1 dumpster.Site Work Permit for all new projects.All commercfal requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ••"'PROPERIY SURVEY requfred for all NEW consWc[ion. <br /> -i-N-1-1-.f-b-��f-�-i�-1-1-{.�.1--1-1-I�-1-i�-1--1-4.1-1-�1a-4-I-{-1--1=F+E-i-i--t-f-�-f-b-1-I-d-i-I--t-1--F-f-4-1-t--1-1-I..F-{-i-FF.�-i.-1-4- <br /> Dtrectfons: . ' ' - �� , � <br /> FilloutapplicaBoncompletely. ����.^", „ : ' ; ,�'';;" � _ <br /> Owner&ConVactorsfgn back of application,notarized ; ` �"�,� ` ,>;� .. -�„f'; �, „ , - <br /> If over$2500,a Notice of Commencement is requireiJ:_ `(AIC upgrades over$750U) - - . <br /> " Agent(for the conVactor)or Powe�of Attomey(for the owner)would be soineone with notarized letter from owner authorizing same! �.; , " � <br /> OVER THE COUNTER PERMITTING (copy of conVact requfred) , „ ' � .. , <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />