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als-780-0020 City of Zephyrhills Permit Application Fax a1s 7no-oo21 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name . r G e ;. �= Owner Phone Number <br /> Owner's Address 1 '� .� �� �"' ' `` T �"e�� Owner Phone Number <br /> Fee Simple Titleholder Name - _ e✓� T_ Owner Phone Number <br /> Fee Simple Titleholder Address i• t i <br /> JOB ADDRESS W LOT# t <br /> SUBDIVISION L'"�-��' PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED I 9- NEW CONSTR R <br /> tY ADD/ALT SIGN 0 � DEMOLISH INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION . ��'' BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE 3 Jit HEIGHT <br /> 'rp-r-r�-e">r'-r�-r't-re-s"g'-t'�-a-�-'e-'v-c->r-R-s�-t'�+- s-a�-v-a-r's^8�-a®�"sr-a-➢-e-�'�e-s- tr-a <br /> =BUILDING $ -I ��� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $. .p i �.U� AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBiNG $ -4 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �. <br /> GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> '-q-q-q-➢-'6--6�➢-➢•-d'-I'-q-➢---0'-➢--➢--I-q-➢—➢--}�-+�-&-q-s°�-➢--1-�'-@-➢-"�'--cue--'- 4� ;6-y�-m-q�$�° �S °\�° @sa-� @�S�c=z�➢�-$�➢� <br /> BUILDER u,, COMPANY <br /> SIGNATURE .- REGISTERED Y/ N FEE CURREK Y/N <br /> Address /ca�i�'C�v/ 1�f �G+ ✓� r^ I�ia� License# ' �� <br /> ...ELECTRICIAN � rs, f' COMPANY <br /> SIGNATURE ,� REGISTERED Y/ N FEE CURREK Y/N <br /> Address d'��5� =}0�/ C'r ,�?' .,l License# J F <br /> PLUMBER' d�� (� COMPANY li t�XJ?,f;.. �,�•°t:P,1, <br /> SIGNATURE ' REGISTERED Y/ N FEE CURREK Y/N <br /> Address r : ,t� License# fir <br /> MECHANICAL COMPANY P I-la�r%1�j�b� 4. r :,�)e , 7�a'a�JJ <br /> SIGNATURE 1 � __'G-�' --- -"--REGISTERED I Yi N_J FEE CURREK LY/N <br /> Address ge72 / a._` �.� x� f€7�4 'drt� lie License# FcWc 01Z �kn <br /> OTHER --- R . COMPANY � /.,,G /7l?�" <br /> SIGNATURE '' ~�`~^ / <br /> . REGISTERED Y/ N FEE CURREK Y/N <br /> Addresst!- License# ----� <br /> IIIIIIIII1lt ! ! ! Ili; II, @1I ! ! 1lII ! ➢ IllggqqqO ➢ ➢ II ➢ ➢ ➢ @@ ➢ .qII@qq ➢ ggqqqqql ➢ ! <br /> RESIDENTIAL Attach (2)Plot Plan.:; (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,Stormwa ter Plans w/Silt.Fence installed, <br /> Sanitary Facilities& 1 dumpster;Site Work*Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)complet(2 Sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new,construction. <br /> Minimum ten(10)%-!,Irking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary,Facilities 6 <br /> 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 t,-IVEY required for all NEW construction. <br /> ..6.-8-B-�-b.-➢--0.-B..A..9-.i-➢.-➢--q..A-B.:.I..gab-➢o,E.-d.-9.�E-d-➢.-F.-b-9-q-.➢-.d...A-➢.-D-.�-q.-4.-B--B-➢-➢.-9..�+�q��!}�q�;'mq�^.&�.C��m,1� @�9m.tb��B�.. <br /> Directions: <br /> Fill out application completely. <br /> Owner i,Contractor sign back of.i;>plication,notarized <br /> If over$2500,a Notice of Comn;cmcement 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 fiervice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadway' <br /> s..needs ROW <br />