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City of Zephyrhills Permit Application Fax a1s Tao 0021 Building Department Date Received Phone Contact for Permitting Owner's Name r5 r-. E= Owner Phone Number L L C3 Owner's Address (� '�"� ��c `" ' �'` �c ss�fc t Owner Phone Number Fee Simple Titleholder.Name > i s: Owner Phone Number --- Fee Simple Titleholder Address �� JOB ADDRESS "!�1 Cj LOT#� SUBDIVISION w'e-r" PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN 0 DEMOLISH o INSTALL REPAIR PROPOSED USE F 71---]f SFR COMM OTHER TYPE OF CONSTRUCTION . �� BLOCK Q FRAME STEEL DESCRIPTION OF WORK f tC� C3t� f?�oic �,'a BUILDING SIZE ^� SQ FOOTAGE[``O� G� ,3?ff HEIGHT -re-r^�-�-r'-e"r-r-a-rr-r-rr"r-'e-r•-i-r"�^r-rR"i-rn-->s'-rrrlr r'rs-ra-It-r�'rt-'e"r'e-rY-�'-�-v-r-r-rrl�ts�a�vt-sz's�tr'a-' =BUILDING $ �t GU U� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $. AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. ' PLUMBING =MECHANICAL ($--� VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS Ou FLOOD ZONE AREA =YES NO •�'-;'-➢--0-'6-➢-�•-�e-+4'-F-!'-F-c-6-➢-�-;''-1'-1-�-�-�--3-•➢-:-C-i--E�-:•-'a-�r-'r-i-+s-'-'�' `a-`�-$-1�e-8��1�' 'e-1••,'do-vm➢�i�➢-;�6-�-➢-➢� BUILDER _ COMPANY - 6'� 1'_4C-`,-,--, ' SIGNATURE r� l r -� ' REGISTERED I Y( N FEE CURREN Y(N Address %c"� 1 l� /IrC�n License# � �1 ,FLECTRICIAN COMPANY G°�"`�?C�A0�.�a'o X ef C - C SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# 1 FFC_d,300,.) PLUMBER `` _ COMPANY .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address � t Tr��."tts'� .f License# MECHANICAL - COMPANY rti � d 9`�A SIGNATURE 9 F �"" '" �� ^--_REGISTERED YsK/ N FEE CURREN Y/N _Address ��,`�� -� ��'�.' cv ,'£'�a.,aef�'�'�r.�,�` '}' License# �..,tea r OTHER COMPANY _ 1iif%*rf)f�/ SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address �� ;/�it(�cr � License# ➢ liftll ! !' ! Illlitt �� ➢ ➢ 1i1ltllilllllll11 ➢ 1 ➢ 1t11t1lI ➢ ➢ 1lI11 ➢ ➢ ➢ ➢ ➢ 1811 ➢ ➢ ➢ RESIDENTIAL Attach (2)Plot Plan.:; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten (10)v,:orking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SlIt,Fence installed, Sanitary Facilities& 1 dumpster;Site Work*Permit for subdivisionsllarge 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) )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl 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 E.,tgineered Plans. *"*"PROPERTY'SL',aVEY required for all NEW construction. .-8-,i..E.-L-�-I.-A.,4'-t-8..1.��-➢--l-.,i-.1-:6.,.�-i.-p..8..6�5...1.-b-Bv➢-,g-:�.-I�.&..5-.1--1-�i-t+-H.-5..5-1-.�.-6-d-➢-➢.�5-.3..1E-d.a{-.L-�-1-E-E�➢_6�3...4�.@�.1-0,--➢..806.,&. Directions: Fill out application completely. Owner�Contractor sign back of i 3plication,notarized If over$2500,a Notice of Comm(mcement is required. (A/C upgrades over$7500) "* Agent(for the•contractor)or Powor 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 :3ervice Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..heeds ROW "