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613-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -" <br /> -r-rrr-rrrr- r (� <br /> Owner's Name Y't C� a I �= Owner Phone Number 711SL C- <br /> Owner's Address �' ' ' '" `r "o,:r-` Owner Phone Number <br /> Fee Simple Titleholder Name �� +r'* C_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I LOT ll # L--�--E-- <br /> r + <br /> SUBDiViStON � Ga PARCEL I# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED I `-'1". NEW CONSTR R <br /> ADD/ALT SIGN = 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F-9"' SFR COMM == OTHER <br /> TYPE OF CO.NSTRUCTiON . F � BLOCK � FRAME STEEL 0 <br /> DESCRIPTION OF WORK !�� r� m�C ,' z� 'y P J c �; �•� }-ii`. <br /> 13UILDiNG SiZE F_ SO FOOTAGE �-j HEIGHT F.___71 <br /> =BUI,LDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $, AMP SERVICE PROGRESS ENERGY W.R.E•C. <br /> =PLUMBING $ ,- <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ( r)uL <br /> f . <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> --0-t'-A�-t'-8--f-�--t-�-�-�'-1-i-4-�---C-C-i-B-L--88-8-i--C-B--C--4''-Q-E-�'-�-t-?--1--i�-�G�r*9---�t-=�r-m-C-$•�B-H-erg$-9-a-=a-G-t-�7m8�'f,�P+-:�9--t•-5w-t--R-.i-- <br /> BUILDER �+,� � COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURREi, Y/N <br /> Address 7+ .l C��'CY�+�-i >���� c License# ' �' <br /> LECTRICIA�! � COMPANY ql[ 171"•?04(2„J'"�91.T <br /> � --�' �- ' <br /> SIGNATURE REG(Sl'ERED Y i N FEE CURR�EA• Y/N <br /> Address 4�'�7 J +Q�O"Cr �` 1+-� License# <br /> �} / <br /> PLUMBER k-� ^*'r. �d .r — COMPANY f/y`f�t1,f— ,. �bb"tE3�h <br /> .SIGNATURE �— REGISTERED Y/ N FEE CURRER Y/N <br /> Address License# a <br /> MECHANICAL .- COMPANY P �i l� '+fi li1A 14 Ar <br /> SIGNATURE f - '"�� �^ REGISTERED YKi N FEE CURRER Y/N <br /> Address J`e� � / � s^f�.� G, f �aa rt�,Z`�� . f License# CAC 4F51 <br /> OTHER '' �-- COMPANY ? � ;_ v <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y/N <br /> Address !i tlr �1�`/" t' License# <br /> 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit.for new construction, <br /> Minimum ten (10)working days after submittal date. Required onsite, Construction Plans,Stormwater Plans w/SlIt,Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work*Permit for subdivislons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms, R-O-W Permit for new construction. <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 all new projects.All commercial requirements must meet compliance <br /> SiGN PERMIT Attach (2)sets of Engineered Plans. <br /> "PROPERTY-SURVEY required for all NEW construction. <br /> -i-i--6-•6•-b-t--3-fl-9.-.t.-4_h1--t--D-1-�1--•K-I..C.-f--�l-.i-6-.b,-6...1--4-6--15--�--t-D-II--G-I--�-B-�-^�'-G-t--4-C-9--8a&--p-'�-.!�'�-�-t-C: <br /> Directions: <br /> Fill out application completely. <br /> Owner�L Contractor sign back of application,notarized <br /> if over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (copy of contract required) <br /> leroofs if shingles • Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />