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City of Zephyrhills Perrr)it Alplication Fax-613-780-0021 <br /> Building Department <br /> o'?'. <br /> Date Aeceived '6; �u�;G'ar�dlP <br /> Phone Contact for permitting -- <br /> Owner's Name Owner Phone Number .s J L/ <br /> Owner's Address r (a "� �'���< ` '�`" �'' �G f� Ja �52ow, ner Phone Number <br /> Fee Simple Titleholder.Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS UL pit LOT# <br /> SUBDIVISION <_- 'CA PARCEL ID# G o <br /> , (OBTAINED FROM PROPERTY TAX NOTICE) <br /> -__���,,,__�..--- ' <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT [� SIGN [� DEMOLISH ; <br /> INSTALL REPAIR <br /> PROPOSED USE F,9 - SFR COMM OTHER <br /> TYPE OF CONSTRUCTION - �� BLOCK FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK !n r'to ',,,1 7��:� �z - T4<��. <br /> BUILDING SiZE F �^ I I SQ FOOTAGE 3 F'I HEIGHT ' <br /> "r-r-rr mi- <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> lo'; <br /> =ELEGTRICAL $, AMP SERVICE PROGRESS ENERGY 0 : W.R.E.C. <br /> � f ck) <br /> =PLUMBING $ <br /> z -75 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 9-t Co 0 <br /> GAS ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 4--i--F-a-1-@-F•-a-4-C-E�-:�-C-i--O-i-a-1"-1-:-'�a-i•••1-i-"�e�r-1�-9-�-}i-�1n�ll-$-n-B-$-:�l�:a°-:_i-�"-Q-�4-C-t...l-. <br /> BUILDER 'v, - -J t�f <br /> COMPANY <br /> SIGNATURE , REGISTERED Y/ N FEE CURREN Y/N <br /> Address /o ��c l-, /2f-<'e's.ram r License# e, <br /> ..ELECTRICIAN `�, �„ �- COMPANY �G°ril?�^�ram. a,- 5. le C* I e C. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 6 - `1y �='P 'O��O^� r License# <br /> PLUMBER �`r`- ..�--- - COMPANY <br /> .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address j�(d� �' miles *� License# L / <br /> . r <br /> MECHANICAL ��...,�[�^� COMPANY <br /> SIGNATURE 1, �` ^°� `"- "-REGISTERED Y// N FEE CURREN Y/N <br /> Address �e`x ,,/�i�� ��.A a.a ,,tl �` ij' License# C C 0,?;5 r' I <br /> OTHER - - -- -p COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y i N <br /> Address License# <br /> lllllll111' 11111111 :� i1i1t11IIiiiitl111i11YIItI11111111I •i1N16. 61t911961E61 <br /> RESIDENTIAL Attach(2) Plot Pianp�; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten (10)vrurking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt•Fence installed, <br /> Sanitary Facilities F 1 dumpster;Site Work'Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach (2)complete, 3efs of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new-constructlon. <br /> Minimum ten (10)1 arking 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•SL'•-IVEY required for all NEW construction. <br /> .•i-4-E.-4-i-.i-11-4-f.-i-.4-4-i-.1-•➢.-I-b--''-!I'-L'_l-b-1...T•-0-i_I-�h�..b-i-1_b-t-d-1•-14.-E.-t-�.b-.i-.t-i-b_S-u-.H.-6..8�.1�-➢-.0-�:-8_�tl.-8..i-8.-1-f4--F,.{_0_8-, <br /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of 0plication,notarized <br /> If over$2500,a Notice of Comwvncement is required. (A/C upgrades over$7500) <br /> ** Agent(for the-contractor)or Powur 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 »:... ..•:... ., <br /> g Sewers `service Upgrades A/C Fences(PIotJSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />