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Gity of Zephyrhills Permit Application Fax=e13-7e0-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name i- Owner Phone Number L <br /> Owner's Address. ( '� i e ' '� �'� ��tD-+f6)c�"�� Owner Phone Number <br /> Fee Simple Titleholder.Name e__evn. V-1- Owner Phone Number <br /> Fee Simple Titleholder Address =tZ <br /> JOB ADDRESS `j� �i � (`� LOT# <br /> SUBDIVISION PARCELID# o2-6o- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED [��ESJV CONSTR RADD/ALT C� SIGN = � DEMOLISH <br /> NTALL REPAIR <br /> PROPOSED USE [ ]�' SFR COMM . OTHER <br /> TYPE OF CONSTRUCTION . [ /� BLOCK FRAME ! STEEL p <br /> DESCRIPTION OF WORK �t <br /> BU '+ HEIGHT* <br /> SIZE SO FOOTAGE ' <br /> BUILDING $ t,5 f�� VALUAT! �TOTAL CONSTRUCTION <br /> =ELECTRICAL $, g t (}Z} �� AMP SERVICE PROGRESS ENERGY 0 . W.R.E.C. <br /> =PLUMBING $ _t t '5D 6 <br /> ` 4 <br /> =MECHANICAL $ Co C) VALUATION OF MECHANICAL INSTALLATION <br /> =GAS F7f ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS +p 3 FLOOD ZONE AREA =YES NO <br /> - - -F-t--1-t'-h-1--�'-t- -1-1-1--A---C- ll--C-6-6--fi-�C-➢--.-i-t-i .-C-�i-.--'e-1-•.-r• -ti1-t-r+-1-i-€-E-c -;-F-I..i-• •- <br /> BUILDER //� :, � COMPANY D� � "�" '* J'''�- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N <br /> Address %cri�l lees r'z i �" Jai License# <br /> ..F_LECTRiCiAN , - ' -- COMPANY G°,^2"?�3�J, 1 l I � 1 N <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y(N <br /> Address '"- �J =�P �'C° � , ? License# Qi l � <br /> PLUMBER '"�'� ...- _ - COMPANY • =1)w ' <br /> .SIGNATURE �7 REGISTERED Y/ N FEE CURRER Y/N,( �z7 I <br /> Address 1''i i r�/ ' ` 'i� ���', , ',`�. License# a re ow-2 .rf A' <br /> MECHANICAL ,� COMPANY ivy, <br /> SiGNATURE f,� �e.r. . ���" �� "m -- -_REGISTERED Y8�/ N FEE CURRER Y(N <br /> Address �` � u�1'��.�.emu*" f�va a�r;c�rt�rs l` '`j License# �. tu <br /> OTHER: <br /> SIGNATURE ` REGISTERED Y( N FEE CURRER Y/N <br /> Address License# <br /> IIIltttll' i ! lillll �ltiiittllliilttitlititlltllillltllilll• t11IItIt11I1 <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!Sllt•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(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'SI JRVEY required for all NEW construction. <br /> Direcdons..4�-6��-�-.{�L..1--4.1-.f-f.�.-<--0•-i-�-O-I--E--6-1-1--E... ...i-i-B-tl-6.-B..4.B->-ll-t-1--1-{.�-d.�l.B-.L-1L.�..i-i-6-➢-1t<.9..3-•9=-8-�4-8.-{�Le�.l� <br /> . Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of+application,notarized <br /> If over$2500,a Notice of Commeincemeht 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 roadway' <br /> s..needs ROW <br />