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813-780-0020 City of Zephyrhills Permit Application Fax-e13-7e0-0021 <br /> Building Department <br /> Date Received Phone Contact for Permuting <br /> Owner's Name y-t t rs r• �= Owner Phone Number�i• 40 a <br /> Owner's Address � �'� � "� ` '"' �'� Te ra^�v7 J� /Owner Phone Number <br /> Fee Simple Titleholder Name �» t- Owner Phone Number "--- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �(r l I� 33S-9 LOT# <br /> SUBDIVISION <br /> �•�=-l" e"i�Ga PARCEL iD# 0 `� "c: V ) _ 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> 'INSTALL_ _ 8 REPAIR <br /> PROPOSED USE F-9— SFR COMM OTHER <br /> TYPE OF CONSTRUCTION " �� BLOCK FRAME STEEL = <br /> DESCRIPTION OF WORK J�rr71c T�'�' t?~�'S�}cam• a`,1e'c Za °� �-1 .� r�. <br /> BUILDING SIZE �— SQ FOOTAGE�1�L Z.3 Z HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $, U AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [=GAS 0 ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONSO� FLOOD ZONE AREA =YES NO <br /> �A/�f�t"'IIT�iTI�Tf�PTT`MT� t9TiT4�T'R�PTP�YiIYITS'��7�,YRi TL�FY�I��'i�imY�4P�"i��T�I��/� <br /> BUILDER �^ ,/(� —� COMPANY r\ - 1A '�-�' 'T C <br /> SIGNATURE REGISTERED I Y( N FEE CURRER Y/N <br /> Address %oU� %�/� �Gj.m ,� I i�� License# C13C-0 'cl 0 6 <br /> ..ELECTRCCIA( i COMPANY <br /> SIGNATURE •�^ REGISTERED Y/ N _FEE CURREN Y/N <br /> Address di� k-'�C°��O License <br /> r <br /> PLUMBER " � *' �--� --- — COMPANY rl,ra�" ?, �G'ttt � k/ �FSrr�fi4. <br /> SIGNATURE REGISTERED Y( N FEE CURREN �Y}/N,/,r <br /> Address '/tit1�,f� ;r Atl ,?a�N� ,i , License# a (�G�J i` <br /> MECHANICAL ) /-� COMPANY '�/FG '�+ �d`� r <br /> SIGNATURE ( ri "'-REGISTERED Y'f( N FEE CURREN Y[N <br /> Address � ' j? ,/. f%-�'F��„ "`� f�u�a '/`^�sctr�,L�1` ' License# l�tht�k!a <br /> OTHER _.t-- COMPANY �� r ,rt �N /}flJ;. <br /> SIGNATURE REGISTERED Y J N FEE CURREN LLLN <br /> Address !�3'���!..-".� � �p� '��,,r'� License# F_— <br /> tttltlllCIIIllltlt ! ! lttl ! lttttititii111Iliitit1I11I111It1Iltlllttlt <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/Silt"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 /> -i-i�L..b.-F-1-A-6-6-t..L-1-I-.4->,-i-:#-9--t-.6-f.-6-i-6-•6-.L..1•-i-b-}^.i-.i-6-@-2i-B..11.-5-t-•A-.E:-6-b.-t-6-t--0-B-.6-8�.a.¢..�-l.-C-9�1ldI..�B.-@�8�1-14..¢..4-3,-6- <br /> Directions: <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 letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (copy of contract required) <br /> 3eroofs 1f shingles " Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> u <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />