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913-780-0020 City of Zephyrhills P_er'mit Application Fax alsaeo-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -" <br /> Owner's Name tr t t t� r-. �= .Owner Phone Number <br /> '52 <br /> Owner's Address «�'����') �`� '"� `� �G�t..fp�E J Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> aos ADDRESS' '� r ( i f 5 Ft 3� LOT# <br /> .SUBDIVISION �✓JiJ1>•e_r� PARCEL ID# Yw <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR INSTALL 8 ADD/ALT SIGN � DEMOLISH ; <br /> REPAIR <br /> PROPOSED USE t9— SFR 0 COMM OTHER <br /> TYPE'OF CONSTRUCTION . �''r BLOCK FRAME ��. STEEL 0 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE �_ - SQ FOOTAGE Z"��2 S HEIGHT <br /> re-P�t-'t-r'�'-7r-t-t-rr-r�r-r r"r-r-r-sr^re->t-t-mrp-�-➢-9-�-e-r->r rr-e-r-o-¢-ra <br /> =BUI.LDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ V VALUATION OF MECHANICAL INSTALLATION J <br /> c� J`�p� <br /> = Tz- <br /> 1 <br /> =GAS ROOFING 0 SPECIALTY r OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -4-¢--➢-4- -i-31-$-➢----1-➢-1-➢--Fi--i-➢-i-4 1-4 1 ➢--; 11-a-1-4-- <br /> BUILDER � = COMPANY _ -�C?�'�-c' _�' fn C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address %c t�t� l� rt•"C 117 101- )�ia� � License# 013, CG5cl-0 6- a <br /> ..F-LECTRICIAN '�� rr, COMPANY G�r��i ��?,F� 3 {` 5- <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN Y/N <br /> Address a5 —'�r""� ,"� r .rl License# <br /> PLUMBER ,, "`' _ COMPANY ••.a ��L' r311 � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> .Address Qi.�r1� `t Fr�,j *t/. /7� .'R a License# <br /> MECHANICAL ter, COMPANY /""��i ' /!G{** �d� <br /> SiGNAi'URE f 6,"e�-l- afir Ic,^� -.REGISTEREi I Yl N I FEE CURREN Y/N <br /> Address � � G F /}�,' fvsa a Fre,,t!,Z'J`� j License# f� d6 � <br /> _. <br /> 14 <br /> OTHER Y_.-r- '- COMPANY �� <br /> SIGNATURE ` - REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1 1 ! ! ! ! ! 1 1' i ➢ ➢ ! ➢ 1 1 i ➢ ! 1 ➢ t ➢ i ➢ i ➢ 1 i ➢ ➢ i 1 1 ➢ @ 1 @ ➢ ! i 1 ! ➢ 1 ! ! ➢ ➢ 1 @ ➢ ! @ i e ➢ @ @ @ @ 8 ➢ @ ➢ 00 <br /> RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit.for new construction, <br /> Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit.Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction: <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "PROPERTY-SURVEY required for all NEW construction. <br /> -1-➢--E--l-d..➢--6-@-•@--�•.-f-➢--i-.1.-D--;-i�➢-9.-m-➢-@--➢-1-b-.6..•➢--1,-@-»i..&-➢-b-1�-@-11-➢-�-➢--@-.E-@-@--@-➢--$.-9•g&-@--1°.i,.�➢�t;9.miS�-@-@ -@.-@-a-/-➢•-• <br /> Directions: <br /> Fill out appiicatIon 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 auihorizing same <br /> AVER 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 />