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Gity of Zephyrhills Permit Application Fax=813-780-0021 Building Department Date Receivedtr Phone Contact for Permitting -- p Owner's Name k c ,-. .. �`= Owner Phone Number =W31 c1 Owner's Address � ° T,>►"',,v,.J3 5.Owner Phone Number Fee Simple Titleholder Name Owner Phone Number [—--- Fee Simple Titleholder Address JOB ADDRESS Qt ��{�� LOT# SUBDIVISION � 'k=�' c., PARCEL ID# 049d1% " (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN � DEMOLISH INSTALL REPAIR PROPOSED USE F_�9""- SFR Comm OTHER TYPE OF CONSTRUCTION r-L/" BLOCK [� FRAME I J STEEL DESCRIPTION OF WORKko BUILDING SIZE SQ FOOTAGE Z5 �J{ HEIGHT ",t-e"rF-r-c'i'rt�-rnr-r"r's"s"rrst•-r�'�-r"i"t�i"r'i-I-r-r-r`rr'rrr'ir-I-t'-r'-r'r'r�rrs'-r-7'�-r'r"r"a-rr+�-r-t-ma-r'r"r-r-tl- BUILDING $ !St(�� VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $. _• AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING $ 0 q MECHANICAL $ 1( }� VALUATION OF MECHANICAL iNSTALLATION =GAS ROOFING SPECIALTY u OTHER FINISHED FLOOR ELEVATIONS 4w� FLOOD ZONE AREA DYES NO --C-•i-C-L'-�'-�-F-�-•i-�'-C-�-•C-�-a'-�-i-➢-�•-➢-I-:--0--F-C-''-➢�'1--:-+i-9-:-:-f,�➢-I'-C-:-@-7;•➢-8-@`-i-'v-@-;-1-I-a-;-@mu®�@-t--�-@-a--I-R--a- BUILDER , ' i COMPANY - � c .-A-Ci SIGNATURE �` �- REGISTERED I Y/ N FEE CURREN Y f N Address Pic'--]v? /r-<,,.n r ,r'� r" .1c i�� License# a?C- 03 f-7 0 'ram' :2 .EL.ECTRICIA� a, �,- COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address dJA='Pd ° ' fr2� f' License# . r PLUMBER ^ �`'➢'� .^ m COMPANY P ` 1/ .�f7,� rFra ,9y� .SIGNATURE REGISTERED Y! N FEE CURREN I Y/N Address �„ if} � , , �rl ��.- License# arc.- MECHANICAL COMPANY j"'1,%ral-ei-xi " SIGNATURE f/ � '" -`-'-:--REGISTERED Y// N FEE CURREN Y/N Address � 7 �'"� "� f`+so ar cl rt� 'j' License# t �C+f!7 OTHER -. fj1n�� --- . COMPANY - 1 J�t) i.' fj - SIGNATURE 1 REGISTERED Y/ N FEE CURREN Y/N �! Address �tl t� - i� / License# lliti@IiFittlilii ➢ it1111I11111i111I111II111lIIilllJtlll• 1111@1 ➢ II ! !•I RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wi Siit•Fence installed, Sanitary Facilities&1 dumpster;Site Work'Permit for subdivisions/large projects 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. Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. *"PROPERTY'SURVEY required for all NEW construction. .-1..4..1�-1--I-➢-S.-�...b-i-i..S-.i--1-�I,-M:i.".-L-�..1-�-J-i-i-4-@•-i.i-E-.P-.i-i-k-tF-.D..B-i..[-@•-N-1•-4-1-4�1-.8..G-�-@-@-�-�-➢-L.-9-i!�&.�--@�I.•I6•••1..,L..�..�. Directions: Fill out application completely. Owner�Contractor sign back of Rippiication,notarized If over$2500,a Notice of Commoncemeht is required. (A/C upgrades over$7500) ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs•if shingles - Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROVII