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1 tsu-uuzu City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Received -e, ) ' 6 o,c�` c <br /> Phone Contact for Per <br /> (� <br /> Owner's Name <br /> Owner Phone Number ) a� <br /> Owner's Address ! p,, Te_/).,o,_5 5'2Owner Phone Number <br /> Fee Simple Titleholder.Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS l raf I s4mL4— LOT# I3 <br /> SUBDIVISION lf:-F"'c-- ov-4 C-ti PARCEL ID# 6t 206 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED ef�NEW CONSTR 8 ADD/ALT �� SIGN � 0 DEMOLISH <br /> 'INSTALL. REPAIR <br /> PROPOSED USE ®-- SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION , �� BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK �lt' `arx� ( ' ry,Y L'►d�C�t^," Z <br /> BUILDING SIZE SO FOOTAGE t Z 1316 HEIGHT <br /> -a a I a r- t=rT�i-fr�Mar-rrr-rrr-rw"e-f-4- r-r"rrrt-r'r'Ir-rrtr-r-r-f"r"rt-re"r'rr'rr-r-�-�`re-ro�r' <br /> =BUILDING $ I C60 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ i <br /> c <br /> MECHANICAL $ j3�00 0 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 10 FLOOD ZONE AREA ]YES NO <br /> -a-C-F-a-i-a-p--F-G-i-a-{ a-G-W+-C-F-C--a-F-B--F-a-:- F-i-:-F-i--rr-F-:-O--➢-n�+-6-:-4--�G-;-i-a-a-�6-S-"-'a�9-'a-a'-C-,Tri-loi ri-i-➢-,1•-a••a-a•• <br /> BUILDER COMPANY <1./• - � - " J' <br /> SIGNATURE �� _ REGISTERED Y/ N FEE CURREN Y/N <br /> Address /r l� � °<e .� ,� �" )�-ra� �:. License# C��a�= <br /> ELECTRiCIAV �r� , COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N _/ �( <br /> Address d°'�-. �J =�FJfC°" a 'I 1� License# �`.C_93, � 71 00 e 1 <br /> �f y 12�1 <br /> ,¢ /PLUMBER f. "` COMPANY �'" r77;f` �G'#� N �'�dw� i���o+a <br /> SIGNATURE ,} REGISTERED Y j N FEE CURREN Y/N I <br /> Address � , r: rA y- �a✓�c `� License# (- �L�' Q A <br /> MECHANICAL _--- COMPANY <br /> SIGNATURE f �e�v .��'/ -'"REGISTERED Y// N I FEE CURREN Y/N <br /> Address ' * / �' ,�'.� i i lc��a M', 'G�tr/ �r ��f License# C tt--+Q ` <br /> OTHER ,.-.� <br /> COMPANY <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN Y/N <br /> Address ��- �� l!�l" License# F ^� <br /> aaaiaaaaraaaaaaaa � aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa ,aaaaaaaaaaaaaaaaa <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 f.1 dumpster;Site Work*Permit for subdivistorns/large projects <br /> COMMERCIAL Attach(2)compleu 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)t.•xking days after submittal date, Required onsite,Construction Plans,Stormwater Plans w/SIR Fence installed, <br /> Sanitary Facilities a 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•&!;IVEY required for all NEW construction. <br /> 31rections: E--0-L-I.��L�-4�l-i-:A..s -f-6�i..1�E�4.1-i-.6-e- -1F-1-3-.)i..H--a- »i--a-9-1.-i-#-i. --A�.B-A-6�6..- ..a-s�B-L�..�- -9�.�a.•iG..l.�..i4-0.. <br /> 3irections: <br /> Fill out application completely. <br /> Owner�Contractor sign back of i:)pllcatton,notarized <br /> If over$2500,a Notice of Comnwncement is required. (A/C upgrades over$7500) <br /> '* Agent(for thwcontractor)or Pow(Jr of Attorney(for the owner)would be someone with notarized letter from owner. uthoriztng same <br /> JVER THE COUNTER PERMITTING (copy of contract required) <br /> :Ieroofs if shingles - Sewers :iervice Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on?ubltd roadways.,heeds ROW <br />