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City of Zephyrhills Permit Application Fax 813 780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name j-, �= Owner Phone Number `- �L/ci � 9� �1 <br /> ,r� >�� <br /> Owner's Address '�rn�C+l�`o���Le �"`� 'n" �'`' ��`�"'f°��"?� � Owner Phone Number <br /> Fee Simple Titleholder.Name 'C_ Owner Phone Number -- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (�._ �' LOT# <br /> SUBDIVISION PARCEL ID# : J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH <br /> INSTALL'• REPAIR <br /> PROPOSED USE F-9— SFR COMM . OTHER <br /> TYPE OF CONSTRUCTION . ��' BLOCK FRAME I i STEEL p f <br /> DESCAIPTIOiVOFWORK <br /> sr6fi <br /> BUILDING SiZE F SQ FOOTAGE ! ( HEIGHT <br /> �rIr�r�c"r'Q-'l-x-rr"r'-r-�-rrs-r-r't'-r-'a-r'r>;-°r�-t"c-a-rs"t"s'w.. <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $. 4 b AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ 0 L-) VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ✓� ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS �p ��r�� FLOOD ZONE AREA =YES NO <br /> -t'-4-D-1--1-t-i-�'-C-C-6-1-i'-6--C-�-i-I'-F-C--tG-C-'i-V4.-�.-p-6-G,.:-C-;ri-:-;i-i-6-:-:-i-:-4-fi-:-:-7-i�6--a-�`-6-G-:-➢-3-:-6...:�e-°„-°n--0-F-i-1-Y-'d•- <br /> BUILDER / COMPANY ' ' <br /> SIGNATURE "-' ���y REGISTERED Y/ N FEE CURREN LY/N <br /> Address ' + -C te-K0/�,7 License# CL03F � <br /> ..ELECTRICIAN �� a, r, r''�� COMPANY ��=0���"1�3a��i�"`'l �!�'t°C 7 1 t <br /> SIGNATURE REGISTERED Y( N _ FEE CURREN Y/N <br /> Address �'✓ 5' " '�� c� ,�1 �t�'f' License# FCd r, 7 G ? <br /> PLUMBER COMPANY <br /> .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �; � f 6 *i ce" , 1 License# ( <br /> MECHANICAL COMPANYri �� d ' <br /> SIGNATURE f. �' � '�G'r� "--REGISTERED I Y// N I FEE CURREN Y/N <br /> Address ✓'702 14a_'� As° at�c�r'4X7 License# '1- It -�, <br /> OTHER -T, p COMPANY 1f �14= if. t?f� l' <br /> 3s� --~ / <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y(N <br /> Address t/ 8 - 1 / � License# L <br /> ltili / iii' littllttiti1t111ii1tii1tii1111t111111111Ilitiltllliti11111 <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 /> .-4-4..W-i-i '�J-l--f-1-.l..i-1--1-t=i-,'�-t-4..f-6-i-i-d-E-1-1-�-�-9-.i..1-.1-R-i-b.-i-L-6-�.8-1•-#-i-i-�-d-e-d-S-.l'�-i-1-�.-6-�..8...+�» -0.-i..�.-6..i-. <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 /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs•if shingles • Sewers Service Upgrades A/C Fences(Plot/Surveffootage) <br /> Driveways-Not over Counter if on public roadways..Meeds ROW <br />