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O 1 J_Iau-UU•LU City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received - � ��m fa'a"Lo°n'�� �" �" �' ���.��sr►-3 <br /> . . :1Phone Contact for Permitting - <br /> "77'-i- -1 IF I I. <br /> Owner's Name i c r. Owner Phone Numbert�c fI <br /> Owners Address 19 T�r'�"f�'��� '� Owner Phone Number t " <br /> Fee Simple Titleholder.Name �. 4 !»: Owner Phone Number C-- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� LOT# <br /> SUBDIVISION r'r'C_- CA C PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ; <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> e INSTALL. - REPAIR <br /> PROPOSED USE F-9— SFR 0 COMM i_ OTHER <br /> TYPE OF CONSTRUCTION - �� BLOCK 0 ::r FRAME STEEL <br /> DESCRIPTION OF WORK �n�t J crYj t •p r � �, �'J mfCJe_,".e�-e- We,� Z 6=4)-, Ge`. <br /> BUILDING SIZE So FOOTAGE S`( � HEIGHT <br /> =BUILDING $ (C��t-066 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $, t AMP SERVICE 0 PROGRESS ENERGY 0 . W.R.E.C. <br /> =PLUMBING is 1Co <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> -Sf���..� <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS I � FLOOD ZONE AREA =YES NO <br /> �p3_ �O <br /> aBU-NI-LDa•E�-R:i..a-l-a.-i.-N..a.-N..N-a-I-�-N-1••!'-•1-a-�-1--G-1�1-�-;i-"�1-i�E-'�I-➢-;..�I-�.•1-.-{�-,�;-�-I..p.-l..i`��a-l.R-p.-t-:••?i�1-1-°r.�-�,1,-�- <br /> / ; , COMPANY �I-:�. - �"� •''�-C' -", J' <br /> SIGNATURE �"�� REGISTERED Y/ N FEE CURREN Y/N <br /> Address � [�� /� ��«.� ,( License# C13C'GSq,0 6 <br /> ELECTRiCiAN c� ,/'�, COMPANY G���`l`t C FA�J �3 /�'!° �'!"'A l <br /> SIGNATURE d REGISTERED Y/ N F.EE CURREN Y/N <br /> Address d'©- ."��p��C°" i:� rv�,r7 1, License# 1 ocs,3co, e4? <br /> �'} ,� <br /> PLUMBER K-r P/ " c�'` � COMPANY 0" (/! " fa.f dG' ao r" , 1'0 C <br /> SIGNATURE �.y REGISTERED Y/ N FEE CURREN Y/-N <br /> Address X �r Fri.: T r� � "a, <c License# <br /> MECHANICAL COMPANY A"i Ile r <br /> SIGNATURE l � ;"'�n- flEGtSTERED Y// N FEE CURREN Y/N <br /> Address L ` 2 1-.^a_ X c+ f'� a a,, "�,�tf '/` �f License# I C/1 ol, ,11 <br /> OTHER ..:~�� = COMPANY 15/ <br /> 51G ed <br /> NATURE �" / ,CREGISTERED Y/ N FEE CURREN Y/N 6� <br /> Address ",� / ^7 <br /> -...� �'... License# <br /> itiiliNi.N• NlililllIIiN111111111l1111lINllllllll ! ! 1 ! lIN1li1NilNlilli ' <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,Stormwater Plans w/Silt,Fence installed, <br /> Sanitary Facilities& i dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)complet(. lets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new const(uction. <br /> Minimum ten(10)t.•)rking 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 E,igineered Plans, <br /> ""*PROPERTY-Si.'RVEY required for all NEW construction, <br /> a-.i-frl-1 1-M-1-tI-i-i-b..l..1..;�.l�i-t-.i..i-1-d.-1s-N-a-.I-S-�i..i-l-i�b�B- -i-- -B--a L-'8-1 '&t_4_2 <br /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of 0plication,notarized <br /> if over$2500,a Notice of Comwi,ncement 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 /> JVER THE COUNTER PERMITTING (copy of contract required) <br /> 3eroofs•if shingles - Sewers • iJervice Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />