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813ae0-0020 City of Zephyrhills Permit Application Fax=sls Teo 0021 <br /> Building Department <br /> gw <br /> Date Recdfved Phone Contact for Permitting -- <br /> -t r 1—t—t—t—If:T lf— a a 5 <br /> �- <br /> Owner's Name + kri c� r. �= Owner Phone Number .J t <br /> Owner's Address lQ ! � ' �'� T���f°? Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address t <br /> .JOB ADDRESS 1 S�1 l'� LOT# 1 Z l Z r <br /> ' SUBDIViSiON <br /> J E� i.:a"e_(-C_- CA Ca PARCEL iD# Cr -oI <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADQ/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE — SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION , �� BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF WORK �lt'1 j'� lc ' rv► } >`'�a�C s G c� 3 ak �~� Z—54 ! <br /> BUILDING SIZE SQ FOOTAGE d HEIGHT C`� <br /> =BUILDING $ '( U� (oo VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. _. QI AMP SERVICE 0 PROGRESS ENERGY [� . W.R.E.C. <br /> =PLUMBING $ Q � . <br /> t` ��/ 64 <br /> =MECHANICAL Is /_t b� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS lC� ROOFING Q SPECIALTY [_ OTHER <br /> FINISHED FLOOR ELEVATIONS 163 , FLOOD ZONE AREA =YES NO <br /> "�=➢-➢--�'-8•-➢-•�-:�--1�-➢-Il-➢•-Il"-6-➢-�--8-+➢-6-8-➢-J-�-6•-�-��"P-➢-�-➢-s'-c•-°emu--�Y�° �s �"&���-°c6�e`�ir�l °1°a�8-«�;rmt�°,m° E,�➢� <br /> BUILDER COMPANY �✓° 1 - �-D rJ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address.' 1�/C-<-0.11? r^ I ern . License# <br /> ..F-LECTRICIANN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER t �' _ COMPANY i'." !j� 1,f1.� .. Fb� r? •r�a � �' ;r��'�, <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N � <br /> Address f �. �t� /1�rr'�n- � :' License# Fa <br /> MECHANICAL I .. COMPANY <br /> SIGNATURE f.� .z- '' '� ""-"`—REGISTERED W/ N I FEE CURREN Y/N <br /> Address ` e t ��� �,A f_ x� f�r� , �a�tf,L`li� �� License# <br /> OTHER', COMPANY �� tT �F. /�1�� <br /> SIGNATURE: REGISTERED Y/ N FEE CURREN Y/N <br /> Address �' �Z> License# <br /> ➢ ➢ ➢ � ➢ 1 1 1 ! t 1 ➢ ➢ ➢ t 1 1 � ! ➢ Il 1 ! 1 1 1 1 ➢ ! ! Il 1 ➢ ➢ ➢ ➢ ! ➢ ➢ ➢ ➢ Il ! ➢ ➢ ! ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ 1• ➢ ➢ ➢ ➢ 6 ➢ ➢ 8 ➢ ➢ ➢ ➢ <br /> RESIDENTIAL Attach (2) Plot Plan,_; (2)sets of Building Plans; (1)set of Energy Farms;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 F< 1 dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)complet(, 5efs of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10)%!-jrking 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.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2)sets of Engineered Plans. <br /> t"* PRO.PERTY•Sl,',:IVEY required for all NEW construction. <br /> -1-6-B-.B-.B-b-9.-Il.-Il-.a--1•-t�-&-�-➢-.d.�.,�-.��..1-.�-&-b--3.�a➢--a-aB-B--$.-$ob-b.-21.�6=.d1-.9-v.➢---It-Il- 6�-&�➢�S-��L��1'�# 0,�'�-,n--H,�9.�A,ve�➢ol�.. <br /> Directions: <br /> Fill out application completely. <br /> Owner 4 Contractor sign back of t)piication,notarized <br /> If over$2500,a Notice of Comn:.c!ncemeht 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 Sewers 'Iervice Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW _. <br />