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City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> °?. <br /> Date Re6eived "6; r " ,ddFl <br /> Phone Contact for ermliti 7 - <br /> I 1 11-1-1-t-r-1'" <br /> Owner's Name 1 ►Tt c e r-. &= Owner Phone Number 9:19 <br /> Owner's Address (;2(r.. A-Te le c14:1 tril- 0, i G17n��G��� �5/Owner Phone Number <br /> Fee Simple Titleholder.Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JqJOB ADDRESS Z 1 \{ LOT# <br /> SUBD1V1SiON _ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH <br /> INSTALL. • REPAIR <br /> PROPOSED USE SFR 0 COMM :� OTHER <br /> TYPE OF CONSTRUCTION • ��'� BLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SiZE SQ FOOTAGE y� 'Z3C�L TI HEIGHT <br /> 0 BUILDING $ [O� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $. ^ti 1� AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> OPLUMBING $ <br /> OMEGHANICAL $ �J I 00� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0� ROOFING F1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS i FLOOD ZONE AREA =YES NO <br /> .-t..g-t-t-:a-i-p-t-t.t-t•_t-1-p�t- -t-�.�..t.-+�•t-t- --i-t-t.+t-t-,�-F-.t-�-- --;�.t-'�.-t-:�-�?-a-y-.. . . t�-t-t_.a.-;mto:.�_.•-"�i-t-J•-t <br /> BUILDER .�f � ;, �� COMPANY t` <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y=N <br /> Address � ��r <c .�7 ,�r " ) -r.�� License# '� ' � <br /> L ECTRICIA COMPANY E Y`= t�� <br /> SIGNATURE REGISTERED Y/ N F.EE CURREN Y/N <br /> Address ' - � `�0 led r%s`,f License# <br /> PLUMBER ^�` ... ---- COMPANY <br /> .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N ,! <br /> Address ! i 3'tfrr �tl �•- ',, � License# <br /> MECHANICAL COMPANY p'"A�i � �� r " :• <br /> SIGNATURE f�" p� G^" ^^^^ ""- REGISTERED Y// N FEE CURREN Y i N <br /> Address � �� rh o f�J�a� 'rJr.•t! °j` License# CAL--035,g56 IF <br /> OTHER - ..----^^>^-""_''`--"' . COMPANY <br /> SIGNATURE `�'` '. `T�� REGISTERED Y/ N FEE CURREN Y IN <br /> Address 8 - f�t(�a License# <br /> ltitlitl !' Ilttltit ;� ltlttttllliltttlttltlllltllliltl .itt ! 101Blttt ! ! ! !'! <br /> RESIDENTIAL Attach(2)Plot P1ar.: (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten (10)v:.urking days after submittal date. Required onsite,Construction Plans,Starmwater Plans w/SlIt,Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL. Attach (2)complet(• refs 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,Starmwater Plans w/Slit Fence installed, <br /> Sanitary Facllities s..1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2)sets of E:-7gineered Plans. <br /> *"*"PROPERTY•SL'RVEY required for all NEW construction. <br /> ..f.-i..t••-E-8-t-t-t.-6.�S.-t..i•.8�t�l-t-�14..!�-M�6.•E..i�•1.-t•�1�F•-b-�-ir-ri-i...t.-t-tit•-t--t..t..�.l.'�t•.t-I�t-1�6�.t-fl�1�.�•�-t. '�.., .�6..II...!-.imd-t-if•�C--�-8..6.- <br /> Directions: <br /> Fill out application completely. <br /> Owner 4 Contractor sign back of Opiication,notarized If over$2500,a Notice of Comwtincement is required. (A/C upgrades over$7500) <br /> ** Agent(for the-contractor)or Pow;; of Attorney(far 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 - ';ervice U <br /> g Upgrades A/C Fences (Plot/Survey/Footage) , : .::_'. . .,:Y:t.,` - -;...;�-,• .- <br /> Driveways-Not over Counter if on public roadways..n eeds ROW <br />