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i613-780-0020 City of Zephyrhills Permit Application Fax glaasa 0021 <br /> Building Department <br /> Date Received ` Phone Contact for Permitting <br /> Owner's Name IOwner Phone NumberL��G <br /> Owner's Address ! �' '-Fe ! `� `� p'f fDnf6�E / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder.Address <br /> JOB ADDRESS k1,dCirkNl I `j SEL 'S LOT# <br /> 5UBDIV1510N �'��� PARCEL ID# � `/T` <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT �� SIGN O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �] SFR COMM OTHER' <br /> TYPE OF CONSTRUCTION . � BLOCK E FRAME STEEL 0 <br /> DESCRIPTION OFWORK <br /> BUILDING SIZE F 5Q FOOTAGE rL$ (p HEIGHT <br /> "t-�-r'r�_e�-a-rr-•r'r-r-w'-ra=r--e-rrr�e-Q-�-r-a-i"_ra-�-'e-������r4-¢-e-s-rp-a-�-�o-�-rp--t�-'rs�•¢-o-a-&"e-�s�'�-s-�e"e-l->s-e-fl- <br /> =BUI,LDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $• ob AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> o <br /> =PLUMBING $ _so <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Iry <br /> [ ]GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO <br /> -➢ ➢_ ➢_p..Q..�..Q_t�➢_.Q.➢..➢..➢_➢.#_g_Q._Q-�•.➢-p-I-.➢-➢-�.➢-$-,}-➢_I__I._1.4-4-911 1 1.4 g�➢�°�➢.a�:_it-S-�➢�g ➢�i�9--➢..g-Q-g-I- <br /> BUILDER r COMPANY l r. - �-�c7 -A-C <br /> SIGNATURE REGISTERED Y j N FEE CURREN Y/N <br /> Address % �;?j� 1 Cif.�-i r )�ra-r c License# ' <br /> ,,F-LECTRiCIAjV � � tc�,, / �. COMPANY <br /> SIGNATURE ' — REGISTERED Y/ N FEE CURREN Y/N <br /> Address �``e ,gv57:-�Fp ,l* - License# {� l/•=} C��7 � <br /> PLUMBER COMPANY f'" fl��f'tt�.f= •.�i �'G"t �^� ��.ra � C'�r;�� �d <br /> - �- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address X License# T <br /> MECHANICAL COMPANY ,�"i� +�� +� 3r'� �' � <br /> SIGNATURE f '" C�' ^^^—"----REGISTERED Y(I/ N I FEE CURREN Y t N <br /> Address 5_,702 / .r she �?>sa a ?�,.• ?, � j' License# l ,� <br /> OTHER' .F.J ,-r- _„ COMPANY <br /> SIGNATURE p �-�' �� REGISTERED Y/ N FEE CURREN Y/N <br /> Address /Oxe' License# <br /> i ! Q i I ! ! ! !' ! ! ! 1 1 1 ! 1 1 ! i 1 ! ! ! i I ! 1 1 ! Q i I ! I i ! Q ! 1 1 1 ! 1 1 ! I ➢ 0 1 .➢ ➢ ➢ ➢ ! ➢ ➢ ! ! Q ! ➢ ➢ ➢ I ➢ ➢ <br /> RESIDENTIAL Attach (2) Piot 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/Sift.Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work•Permit for subdivisions/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 /> -Directions: <br /> i re ct•. -i-B-Q-C--a-;-Q-t-➢-1-�--➢-d-.�.-Q-Q-.Q-Q-3-Go.Q-fi-Q-.E--b-3-Q-Q-I-.Q--0--d-➢- Q--6-Q-Q-4-Q-6-d-Q-�➢..n�➢�EmA�C.�-➢��➢®➢ .➢•�&-➢-Q-. <br /> rectioo nsns; <br /> Fill out application completely. <br /> Owner�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 fetter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (copy of contract required) <br /> 3eroofs if shingles • Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..r!eeds ROW <br />