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Uity of Zephyrhills Permit Application Fax=613-760-0021 Building Department Da#e'Recefved � 4 a,� ��a a s Asa'i Permitting Phone Contact for I a I A a p Owner's Name Gy;^ a r-, �"- Owner Phone Number Zt Owner's Address E4'� ��`j e `=`� '�' �' T�f➢-��a9c � y .d Owner Phone Number �! Fee Simple Titleholder.Name �� -� tr Owner Phone Number -- Fee Simple Titleholder Alo ddress JOB ADDRESS LOT# ` SUBDIVISION ✓ 'r=r PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK PROPOSED NEW CONSTR 8 ADD/ALT 0 SiGN 0 0 DEMOLISH INSTALL- REPAIR PROPOSED USE. SFR 0 COMM C] ' , OTHER TYPE OF CONSTRUCTION . ��''r BLOCK CJ FRAME STEEL DESCRIPTION OF WORK `� ��• ' -a5 BUILDING SIZE SQ FOOTAGE It�32� HEIGHT' [s-r�r"r't-rrrar"i"r_�.'r'a_�"rrr-l�-s'-r'r'i-rri'-c�rr"s'ram" BUILDING $ 1�� i� VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $• it c�b — AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING $p--� _- �,20� • =MEGHANIGAL $ Li( -c, VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO .4-➢--➢--➢--1-➢-#-i-➢-->r-i-1--iE-C-➢--➢--i- l➢-C-i-➢--➢-•C-➢--C-O-i- --:-i--➢--➢-".-1-➢-➢•-'-' log-1-➢-➢-E-1n-1 4x A--➢-�i- BUILDER s�f ,/(� COMPANY ' 9'� `"'V`C�' `' 2-T), C SIGNATURE �tT REGISTERED Y/ N FEE CURREN Address %c��'G�• /'��<G+.'y7 t^ 1�r}� License# 6 G> ..ELECTRICIAN ��,, �� COMPANY °�'�rl C ia°7, �^�'! { "~ t'f"'p SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address d"� 5' ='P '0''C0^ � License# Fo PLUMBER _ COMPANY .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address. 64 �r 3�� AiE•��. �,��" License# MECHANICAL / ? COMPANY p �ff " �e� � �' d ,_ A SiGNATURE C d �� ^^ "" -_REGISTERED Yrl/ N FEE CURREN Address e� �;a �-, „ gd f�va a�raes<•trf � ` ' License# Z7 OTHER -y w�, .. r COMPANY f'�t � � �'. t>f� /S - �'a• ' SIGNATURE y�� '"`... / REGISTERED Y/ N FEE CURREN Y/N Address .. /� , � License# ! illlili !' litlltllliltitiltitittitltll ➢ illlllilllll •11111. 011I ➢ 1l1l1 ! ! RESIDENTIAL Attach (2),Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed, Sanitary Facilities&1 dumpster;Site Work'Permit for subdivisions/large 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/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 Engineered Plans. *"**PROPERTY`SURVEY required for all NEW construction. .•i-i..b.a-i-I--b-1-1.-f.-4�L..i-.1-.1-.1�L,�.-i-1-1-6-1-.L-.E-i-lF.�.�-.b..i.-i..➢-t-i-➢.-➢-�-1-b-B-1-1--1-1-�.-8-6--0..1-><-#-.1-.1-1-1-b.�.�. .Q-1.�8.-1-. Directions: FIII out application completely. Owner�Contractor sign back of duplication,notarized If over$2500,a Notice of Comnwricemeht is required. (A/C upgrades over$7500) ** Agent(for the-contractor)or Power 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 Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Nat over Counter if on public roadways..needs ROW",--_