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lil3-190-bolo City of Zephyrhills Permit Application Fax-613-7e0-0021 <br /> Building Department <br /> ,• ,.,;cC,�?,^',la�d�iv�7^'/� e^-,�G.r'�y�o"iT.�y tt"J!•1-2 <br /> Date Received Phone Contact for Permitt Ving -- <br /> �'T-1 a <br /> Owner's Name ! G cc� r . �= Owner Phone Number t <br /> 1;2 <br /> Owner's Address �'' T �^� � �� '5.2.wner Phone Number �----` <br /> Fee Simple Titleholder Name �� ram- �_ Owner Phone Number --_ <br /> Fee Simple Titleholder Address , <br /> JOB ADDRESS 6 s to VV I ( (fli I S LOT# <br /> SUBDIVISION PARCEL ID# � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 DEMOLISH <br /> 'INSTALL_ 8 REPAIR <br /> PROPOSED USE F-9— SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION . �%' 'BLOCK 0 FRAME STEEL 0 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE��:qPHEIGHT <br /> '•t-�r-a-e-u-e-e'-a-e-P-e~-a',r-v-�s-�-u�r-v"�-rr�-re-�--e-try-s-s-e-s�a->r->q-�a-�"e-��-�'-a-c-¢-e'-as�-e"�u®a�'o'r'�'-Q-s�a-'�-a-�v� <br /> =BUSLDiNG $ i 5� VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $. t bd-� AMP SERVICE PROGRESS ENERGY W.R.E.C, <br /> =PLUMBING $ <br /> =MECHANICAL $ I �U� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ��/f ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 9 FLOOD ZONE AREA =YES NO <br /> "�`-&-�'8-•�-�-'4-•5--9-@•-a-@-E--@-E-@-•G-•fir-C•->3-7-@-�-$--b�s°r-E-�-s�-;fp-c--�'s» �'�--;"�° v-°�-$�6} r`-8�° �+-�' v°�+°e�° u®"c�- °ate+ <br /> BUILDER ' �-�-� ' , . COMPANY �i-j° 9 � 'r3• -c"' "_� �' C <br /> SIGNATURE REGISTERED Y( N ' FEE CURREN Y/N <br /> Address � ����'G�7+m �" !>c ia� License# ' �-� �� ' ^t 1 <br /> .ELECTRICIAN t � ., �, f� rr' COMPANY ��1� ��.� N'Tl�` <br /> SIGNATURE ` REGISTERED Y( N FEE CURREN Y/N <br /> -Address 8��1�� =�Pa�r °R .� ,�?Z �+'-a License# G1FC� <br /> PLUMBER .ram,�F�`"� COMPANY �.r. ��f�,f <br /> SIGNATURE f REGISTERED Y/ N FEE CURREN Y/N <br /> Address. r f �'' �r�lc� J License# <br /> MECHANICAL per- COMPANY <br /> SIGNATURE f "��"� -"--REGISTERED YK/ N FEE CURREN Y/N <br /> Address ���i? J s " e« �"r� fts�a a fG�tf, JSR�f License# (./ It.� � F!? <br /> ,,OTHER, - - - COMPANY <br /> SIGNATURE " ^~ - REGISTERED Y/ N FEE CURREN YIN <br /> Address v License# --- <br /> ! @@ ➢ ! 1@ ! !' 1 ! @ ! @ ! Ilt1 ➢ @ ! @i@11l ➢ @11@18 ➢ H ➢ 1 ➢ fl11@1@fl ➢ @ •➢ ➢ 1@ ➢ ➢ ➢ ➢ ➢ ➢ 8 ➢ @ ➢ ➢ fl@ ➢ <br /> RESIDENTIAL' Attach (2) Plot Pla:_:; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10)urorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed, <br /> Sanitary Facilities Fv, I dumpster;Site Work•Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)completi! nets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10)%)rking 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 E,igineered Plans. <br /> "' ' PROPERTY•SU RVEY required for all NEW construction, <br /> .�J�g-•B-A.-B.-@-.1-8...➢-.4..�..15-8-.➢--9-1-�fi+.,::edl.-.�5-8-d�6-b.�uv6.-8-➢-@sS.-�t�'�-.tip.Pt�D..d... ➢.�'.-A�.ir-1k-$�➢ .1t�Cffi➢�a. �@�H�1 8�- <br /> Directions: <br /> Fill out application completely. <br /> Owner Contractor sign back of..t.)plicatlon,notarized <br /> If over$2500,a Notice of Comnivncemerlt is required. (A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Pow(;r 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 f1ervice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if On public roadways.,needs ROW <br />