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Fax-813-780-0021 813-780-0020 City of Zephyrhills Permit Appiic ' Building Department Date Received -- `7'r°r>t-1-n?- Phone Contact for permittln p Owner.'s Name ner Phone Number _ L��[• #1 Owner's Address � �Q j�•� /Owner Phone Number • rn^' �,.,. 'T�n�f6�c :ems Fee Simple Titleholder Name r Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS' L6 �'� / I �3u LOT# 3I N SUBDIVISIO PARCEL iD# .f �r 3 G (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED 7,W CONSTK ADD/ALT �� SIGN 0 0 DEMOLISH NSTALL 8 REPAIR PROPOSED USE Frv SFR CJ COMM OTHER TYPE OF CONSTRUCTION ''� BLOCK 0 FRAME L�� STEEL I DESCRIPTION OF WORK - r J �c-x7�c• ' c'vi� }^E'Sa .' ' 1�J . 1 Zc:"� }-� Gr`. BUILDING SIZE i SQ FOOTAGE lr1 2 �i9 HEIGHT rT'�"mlrrl-rr-r-,t-rrrr��t�rre-r-o-rrrrr'c--�-n-r-s-'r~r-�'�rtr-s-Q-u-ra-'�-tnr-a-a-�- =BUILDiNG $ VALUATION OF TOTAL CONSTRUCTION =ELECTR(CAL $. _- AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. OPLUMB(NG $ [MECHANICAL $ — VALUATION OF MECHANICAL INSTALLATION �.� �� =GAS Q ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS ( FLOOD ZONE AREA =YES NO •-¢--1-�-^I--4-/-�ry�-I'-•o-:�--1-1'-i•-i-�-•i-4-I-1-4-F-Q-i--F-l-�,-F-i'-,4-6-6--0-I�;r-I�I�i-$-G-�-�-1-@-&-E-�-1-1=1-;-i-d�;;�0mv� -t-3-F•1-1- BUILDER � ... COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address %c� !��"�GI.� ,� r• +I� ,s License# C13CL03'-7 Q 6 :2 ..F-LECTRICIA(V ,,�,/ r COMPANY SIGNATURE e REGISTERED Y/ N FEE CURREN Y/N Address �' - �='0 �" %Ir77 ,7� License# PLUMBER COMPANY .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N,/ Address ��r ,f� , c;_ ,!" + License# r� c MECHANICAL COMPANY rv,-�f Ile ° r r7a7 SIGNATURE f r' �� '"�G /� _REGiSTERED Y// N FEE CURREN Y/N Address `a?? �� .� "t),c a�",.tj Z'f ,� License# C (L--0 5 OTHER , ,, ' COMPANY �''. SIGNATURE' .� REGISTERED Y J N FEE CURREN Y/N Address �c 1r / (�,r License# �— y i I I t I t t 1 1" i t I 1 1 1 I l 1 1 1 1 1 1 1 l l l l i l / t ! t t 1 1 1 1 1 1 ! ! t I t I I I 1 -1 1 1 RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt.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 new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater.Plans wl Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance SiGN PERMIT - Attach (2)sets of Engineered Plans, "PROPERTY-SURVEY required for all NEW construction, b.-L-i.i-�1--I-i-i�.i.�1-a..C�}..II-.i-1..6-3vl..s..d�.D-.&..✓!_Q..I�ty�.6.-�-3��-1-1-1-�.-4.�6-9-•8-1--1-��I.-�.4.-E..E�8�1��(-B-@ Directions: Fill Fill out application completely. Owner Contractor sign back of application,notarized if over$2500,a Notice of Commencement is required. (A/C upgrades over$75o0) "* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter'.from owner authorizing same DVER THE COUNTER PERMITTING (copy of contract required) 9eroofs if shingles - Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways•.needs ROW =