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City of Zephyrhills Permit Application Fax=813-7e0-0021 <br /> Building Department <br /> DateAeceived i ,.�''�"�'"''"��':."'1`. a�..r"-a�'t�� r°i'�o""'�.�', y�v'�.���► <br /> Phone Contact for Permitting <br /> Owner's Name a I .. E= Owner Phone Number ­5`1 <br /> �-� <br /> Owner's Address '!'�c'n�7� '�{='� '�' �'� T�...n�fdJ�JaS� �.�•Owner Phone Number <br /> Fee Simple Titleholder.Name r Owner Phone Number C� <br /> Fee Simple Titleholder Address -may- i <br /> JOB ADDRESS w .. 4 Q(1 cS LOT# <br /> (P j <br /> SUBDIVISION � '=� 'CA c.�, PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) : <br /> WORK PROPOSED e�-NEW CONSTR 8 ADD/ALT SIGN DEMOLISH <br /> 'INSTALL. • REPAIR <br /> PROPOSED USE �r' SFR C] COMM OTHER <br /> TYPE OF CONSTRUCTION �'� BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SiZE SQ FOOTAGE ? � '33 i HEIGHT' —� <br /> r-v-rr <br /> BUILDING $l2�1 d0� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $. AMP SERVICE 0 PROGRESS ENERGY Q . W.R.E.C. <br /> =PLUMBING $ _ 1 - <br /> =MECHANICAL $ s }d`� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS E ROOF{NG SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> •-G- - -3-¢- -C-f--1-1-•C-4-?r- --1--1..p-@:.C-p.-y-i-:•-4-1-r,-:-C--i-1--:,-t'- -:-:••P 1-4-:-:-1-C ...-`u�l`r-B-:-e-3-.-;-IIm:�r-".-i-t-,4-A-C-�- <br /> BUILDER J -, yam COMPANY - � A-A_d-' C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address %c��[> l�l 'G'�+.r+-i s� )Grp' c" License# G�J�i is <br /> .,EiECTRiC)AN �r�-, �' - COMPANY �d InC`,1 7xa�`I <br /> SIGNATURE �. REGISTERED Y/ N FEE CURREN Y/N <br /> d . J� ='�°0n'C° rr License# � ci l � <br /> - Address <br /> PLUMBER COMPANY f" ��' a,�` '► Ft c � a �d',�,�A l��A <br /> .SIGNATURE <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Address � F'1 F.�r{ �r� lf�fs'• ', ''• , License# tt��� iL <br /> ,ram <br /> MECHANICAL ;1 / COMPANY �Al <br /> SIGNATUREf,, . '"tC� m ---_ .REGISTEREf? Y/( N FEE CURREN Y/N <br /> Address �J�'� � ��` Er e-x'. !?�ca~r/r"�rt� 1`r � License# <br /> OTHER COMPANY <br /> — ../ f1 Ate. . <br /> SIGNATURE ^"~T REGISTERED Y/ N Y/N <br /> Address ��„ y�ii ` � A � License# <br /> 116lI11l1' Iltlitlittttittltiltililililiitttlltiillt .tllll• illlllltllll <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)complete 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/Slit 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 /> ""*PROPERTY'SLJRVEY required for all NEW construction. <br /> ..�..i-6.-n-i-1�-1..6..�..i..t-i-.1..�-#-�.,n.-1-.E..1-.t-1-•4-�-1-i--�-�.�.f-.L-1.-1-.i-1-it-.4.1S-t�-l�..{.-b.�-M-1-.6..6..d-{.-6-i-1-t..b-➢-�.&...1-.&-�4-6-E..4-6.,i� <br /> Directions: <br /> Fill out application completely. <br /> Owner's Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commy-mcement is required. (A/C upgrades over$7500) <br /> * Agent(for thwcontractor)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-heeds ROW <br />