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913-780-0020 City of Zephyrhills Permit Application Fax-813-730-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name ►r t C c r E= Owner Phone Number I•'/C7 <br /> Owner's Address j �� c ci t r �'~ TG�.�� ��'� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> FeeSimple Titleholder Address <br /> JOB ADDRESS- U. (} (}}�(} <,:Z_+, Ta4j a bq r hi 33T4 LOT# <br /> .SUBDIVISION ✓ U L' � PARCEL ID# � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED I `-'1". NEW CONSTR E ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F-9— SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION . [ � BLOCK FRAME ��, STEEL = <br /> n ,4 ! �. Icy .-�c�= c �' �4 <br /> DESCRIPTION OF WORK 6 � � l �r �°' ), <br /> BUILDING SIZE SQ I��FOOTAGE[- . HEIGHT* <br /> h� <br /> =BUi.LDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $, d� AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING17-0 <br /> =MECHANICAL p VALUATION OF MECHANICAL INSTALLATION <br /> GAS 'J ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS . FLOOD ZONE AREA -DYES NO <br /> --4-a-�-�'-1'-i--li--S-1'--F-•➢-1'-6-�-➢-�-€-➢-�-I-➢-�--9-➢-v`-�--�-➢-➢-$-91-E-➢--H-1-�-n°G-%--3--�•�-'�-$-'�' ;e-➢�-v�-i-➢-➢-:-s¢.�$.e9-°rim--1-3--C-1-�'-- <br /> BUILDER � --, � COMPANY tV� B `l 0 r` -c'' ^� ZT)-c <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y J N <br /> Address frv1 l�r� �c�.rn r' )c i�� License# ' � <br /> ..F-LECTRICIAjV �, �,- COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address df�3ti��j' ='PoOa�'" , l License# �,��} <br /> PLUMBER T COMPANY <br /> SIGNATURE '` r`rr REGISTERED Y J N FEE CURREN Y J N <br /> Address �r�F,j T if f/7s +ram r a License# a f' a rx/—2. jt" <br /> MECHANICAL COMPANY <br /> SIGNATURE -f r � ••� Gr ^- —` REGISTERED Yxlf N FEE CURREN Y/N <br /> Address J � ^�,�. x�' �i� a ` .•tf � � License# 6 6 J !' <br /> OTHER' <br /> Fa COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 21 13 5 � of ?v K License# <br /> iiiil ! ! ! i' Ill ➢ .➢ ( ii1 ! l ➢ ➢ ➢ ➢ liitltiiilifl ➢ II ➢ 11I1' 1l1 ➢ 11 •➢ ➢ ➢ IF1 III all I1811 <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/Siit,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 ail 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.a-➢-.a-b. -d- -1--9 I-.➢-g-M.#.-C-1-c..L-d--I-iF-d- •.F�.-8-�--b.6.-6-➢-f-a-�-�-➢-fl--1-.I-6. 4- -➢- --I---➢s.1 .8.04 ",:9�1m�3-9-1 ➢�6-q-fit-/-.i�. <br /> Directions: <br /> Fill out application completely. <br /> Owner�t 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 /> AVER 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..needs ROW <br />