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u� City of Zephyrhills Fermi:Application > aX-s1a-7so 0021 <br /> Building Department <br /> Date Receivedd. ��PaT <br /> Phone Contact for permitting J -- <br /> Owner's Name G� cs r-, _ Owner Phone Numbers-��': L <br /> Owner's Address i �� � i� �' , �'� TC fE�fPJ 3 '5'7Owner Phone Number <br /> Fee Simple Titieholder.Name ��'* +� Owner Phone Number -- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT'# �3 <br /> tiS1 (J`� ""?mot{` C <br /> SUBDIVISION C> PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED e` NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> -INSTALL REPAIR <br /> PROPOSED USE F_9"_ SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 r:� FRAME STEEL <br /> DESCRIPTION OF WORK � ��'-:C1'��Try Y ' �"�s} � ," <br /> BUILDING SIZE SQ FOOTAGE �2 ' S HEIGHT -_`-� <br /> eT—r—r`r-0—r'it~'P <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 11_o t�c�cJ� . <br /> =ELECTRICAL $. AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ O <br /> MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION � <br /> t <br /> GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS .T` q FLOOD ZONE AREA =YES NO <br /> -8-4-i-. '- 11--R-i-i�-i--I-WI-4-•C- -G-C-E--�- tl�-'r-B-C�-p--0-F-C-i-F-Pr-:-'e-�1-v-a-:-G•In➢ a" ;ro <br /> BUILDER _ ! COMPANY � '�0 � � <br /> SIGNATURE o REGISTERED YIN FEE CURREN Y/N <br /> Address I. G'G�r -i /r-co.mi ,�f.I'C7-4_ -- License# <br /> ..ELECTRICIA( COMPANY <br /> . SIGNATURE REGiS'rEREt I Y/ N FEE CURREN Y/N <br /> Address <br /> �' .a 5' �' , i-e , t ��7, �L License# <br /> . y <br /> PLUMBER COMPANY •. <br /> a . .-.. <br /> .SIGNATURE r� REGISTERED Y/ N FEE CURREN <br /> Addresses f ����!*a � i? t License <br /> MECHANICAL �� COMPANY F"6��I � � ° ` <br /> SIGNATURE _REGISTERED I Y I N I FEE CURREN Y/N <br /> Address ;� ��'+:s.." � CV License# '4 4C'0, 5fi,<J`h <br /> OTHER <br /> SIGNATURE ' ~�~ — / REGISTERED Y I f N �N ESE cuRaEn Y�/ <br /> Address 3' d}-- �r`� N1,6,8 ?y4�; License# <br /> i111t111Ii111i111 1IIIIIIIIIIIIIII / IIIII all IIII1111IIIIi111111 / 11aI'll <br /> RESIDENTIAL Attach(2) Plot Piam,.; (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/Slit.Fence installed, <br /> Sanitary Facilities&,1 dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)complew 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)x arking days after submittal date. Required onsite,Construction Plans,Storm water 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:,tgineered Plans. <br /> *k"*PROPERTY•St',gVEY required for all NEW construction, <br /> ..i-i-I..�-1,'-1-.iI•-1-I�..i-14..e..1..i-.1.:1I••:r,-1-I.-1.-b,-i-i-.I.-1-1-8-I.-b•�.d..6-1-1{-1-fl.�-I...C...L"..I_.1-#-I-S-A.-6-.�..3�..!-�.�..I--1-1,-i.3...1...1-.6-•1-.1-�.-b-I..b.. <br /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of Oplication, notarized <br /> If over$2500,a Notice of Comwvncement is required. (A/C upgrades over$7500) <br /> *" Agent(for thecontractor)or Powssr of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) N 6r4 _. • _:. <br /> Reroofs•if shingles Sawers .'ervice Upgrades A/C Fences(Plot/Survey/Footage) = --- - <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />