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a13-760-0020 . City of Zephyrhills Permit Application Fax-813-760-ek <br /> Building Department <br /> ceived Date Re <br /> Phone Contact for Permitting - <br /> Y r- a I <br /> p <br /> Owner's Name - n �= Owner Phone Number L��c t 9� f1 <br /> �� <br /> Owner's Address l �C�. ,�'�! `� 'r'"" T�sa'�F> ? . Owner Phone Number ' <br /> Fee Simple Titleholder Name -- , - Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 1 mi I LOT# ImIrl <br /> SUBDIVISION PARCEL iD# <br /> (OBTAINED FROM PROPERTY TAX TICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN F DEMOLISH <br /> INSTALL_ REPAIR <br /> PROPOSED USE F-9`' SFR 0 COMM L_� OTHER <br /> TYPE OF CONSTRUCTION - �� BLOCK 0 FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK �'l�1- J'�/ alb��csi7 i t'�e}c '�,3C z F� / c� Z �:�l }� ..•cj�Gc•. <br /> BUiLDlNG SIZE �_— SQ FOOTAGE tGHT <br /> -rr-e"ra•�-e ' ' -E 1 o i U a a U <br /> =BUILDING Is CQS1 Ooo, I VALUATION OF TOTAL CONSTRUCTION <br /> 0 j 0�} U AMP SERVICE PROGRESS ENERGY 0 . W.R.E.C. <br /> ELECTRICAL $• -'� <br /> =PLUMBING $ t (j <br /> =MECHANICAL $ '� i �(� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS lb.�� FLOOD ZONE AREA =YES NO <br /> -@-ii-1--i--�'.g-�-@--�..d.-9-6-�-8-➢-�+--�+•-((@-G-1'-@--s-9-1-�-@-- °-G-�''-�'��--,"-- }'��-6�"c�°s6@�-ue@�'��E�a•�°Gmu"-�&•�Il�. <br /> BUILDER j/ � � �. COMPANY <br /> SIGNATURE REGISTERED Y/ N• FEE CURREN <br /> Address / �[�ri� /z Ir-cln.'r) r <br /> License# <br /> ELECTRICIAN � "^'�"` COMPANY �G�,rI�C)499 r0,K7 <br /> SIGNATURE `° A REGISTERED Y 1 N FEECURREENN Y/N <br /> Address 6r �1°r��=�r �0 v J+ License <br /> PLUMBER COMPANY <br /> SIGNATURE, REGISTERED Y/ N FEE CURREN Y/N <br /> Address jQ. rrf � �P License# <br /> MECHANICAL ��— COMPANY F �/,�i,('�f edQF�d�r' <br /> SIGNATURE f� � G-�' ^--- REGISTERED Y// N FEE CURREN Y/N <br /> Address . ` x7,� r �. r�" ' /"J c v-�Zrtf 0 License# L.14C fi. <br /> oTHER .��_�/ —_--- coMPANY 11 �f� ., �) � /r <br /> SIGNATURE ,�` REGISTERED Y/ N FEE CURREN Y I N <br /> Address f'r.�!'`u""fi /Ulmer y �j� ,-D` License# <br /> 111111111' 8IA111l1 1@Il11l11i1 ! @@ii1111@i@@@@@1111 <br /> RESIDENTIAL Attach(2) Plot Pla-,.:; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten(10)vrorking days after submittal date. Required onsite,Construction Plans,.Stormwater Plans w/Silt.Fence installed, <br /> Sanitary Facilities F:•, i dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)complet(l aefs of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)a arking 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 /> ****PROPERTY•SI';RVEY required for all NEW construction. <br /> Direction <br /> Directions: <br /> Fill out application completely. <br /> Owner Contractor sign back of i iplication,notarized <br /> If over$2500,a Notice of Comn;tmeemeht is required. (A/C upgrades over$7500) <br /> *" Agent(for the contractor)or Powtr of Attorney(for the owner)would be someone with notarized letter from,9wnerauthorIzing <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 /> t <br />