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City of Zephyrhills Permit Application Fax a13 780-0021 <br /> Building Department <br /> Date Received '..h'��r�����"a a`i'r�.� <";? Q--�'a� '���•.�.�� <br /> Phone Contact for Permitting ` <br /> Ti-C T`T"r M lf- <br /> Owner's Name k C+,^ r-• c: Owner Phone NumberL��L <br /> -T- • o 2 a <br /> Owner's Address '�'���'����'e �="� 'ry' �'r 1 C.ntilCJ�:.�� ��/Owner Phone Number <br /> Fee Simple Titiehoider.Name Owner Phone Number --- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS tP LOT# + I <br /> SUBDIVISION Ur PARCEL ID# /� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> W014K PROPOSED NEW CONSTR 8 ADD/ALT SIGN DEMOLISH <br /> I1—�—�I! INSTALL REPAIR <br /> PROPOSED USE �'� SFR CJ COMM OTHER <br /> TYPE OF CONSTRUCTION'. �� BLOCK 0 FRAME STEEL p { <br /> DESCRIPTION OF WORK �l�i� j� (e p'�n`� � � ��b)r��,•,�� J !`��'� 'J �2c:"�r-i � i��`. <br /> BUILDING SIZE F_ — . SO FOOTAGE�5q�'� HEIGHT <br /> "--`r-R-Ir t-nrN-["i rr-r-r"i"s s c-r-r-c"r"r"c'a-x <br /> =BUILDING $ , S I coo, VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $. AMP SERVICE PROGRESS ENERGY 0 . W.R.E.C. <br /> =PLUMBlNG $ G�}-^o �I <br /> ]MECHANICAL $ �t pb'b VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS g• � FLOOD ZONE AREA =YES NO <br /> -4-1--1-i-f-i•-�1--11-i-1--i-1-Il-S-i'-i--t- li• C=Vi-4-:-4-i-�i---1�°,-r"r4 -:-E-.i•-i..4�t�;-Prc--�1�-a-t-i-. <br /> BUILDERrJ COMPANY � � <br /> SIGNATURE �•` � REGISTERED Y/ N FEE CURREP L Y/N <br /> Address %o`�� -C l e-<o.n ,t 1 �� License# R O BC OS ^ <br /> ..ELECTRICiAN � -��j COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �'d5�� , '0 � ,p* f ? �� License# FFQ � . <br /> .. V <br /> PLUMBER COMPANY <br /> .SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address Q i mid e4 ,__ 7:24 1p. License# <br /> MECHANICAL COMPANY �l � � �r <br /> SIGNATURE <br /> REGISTERED Y// N I FEE CURREN I Y/N <br /> Address g�� �- ' ` ca a�rc�ctl 1 e if License# , ;5 <br /> OTHER , --- - COMPANY fJ �9��'�,,• 4147 4�:_,:5• <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y/N <br /> Address License# <br /> 1 ! tlltll !' Ittilllliililttltlititttliiiiitlitiiiillt •iliil0i1 •iililill•1 <br /> RESIDENTIAL Attach (2)Plot Plans; (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/Silt.Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work•Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)completes 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)working 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 Engineered Plans. <br /> t**PROPERTY•SURVEY required for all NEW construction. <br /> da.-4.6-1-8-M-a--f,.i..L-.4...4-d-.1-1-1-:�.•,r.--L-,n_!-.;l-m-.w--6-i-1=-6-d-b^1-i-1•_I-.B-6-8-.3-L.-rt-8-i-i--H-i.-l.-7�.6..E�-d-1�.��1.�1..9..8-di..�-.6�1i-4-C;a.-&-8-�. <br /> Directions: <br /> Fili out application completely. <br /> Owner� Contractor sign back of 9pplication,notarized <br /> If over$2500,a Notice of Commvneement is required. (A/C upgrades over$7500) <br /> ** Agent(for the-contractor)or Power 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 Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />