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City of Zephyrhills Permit Application Fax-813-780-0021 f Building Department Date Received lw 10 l`-a �,t-•' G Phone Contact for permitting -r�r-r'r-r-rr-r p Owner's Name i a r-. Owner Phone Number =_ 5 iL fI Owner's Address +nioST 1 c`` ' �'' t C!b�j�c�� _'5vow*ner Phone Number �^ Fee Simple Titleholder.Name r Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 1p J l Qii LOT# Z SUBDIVISION PARCEL iD# � ,�7 G'`�a ' Q" 1 �' Oil (OBTAINED FROM PROPERTY TAX NOTICE) ; WORK PROPOSED NEW CONSTR R ADD/ALT � SIGN � [� DEMOLISH -INSTALL REPAIR PROPOSED USE ®— SFR COMM OTHER TYPE OF CONSTRUCTION • �� 13LOCK FRAME STEEL 0 DESCRIPTION OF WORK Or1G't-Y� J`�/Yf 1�" �c^Y�� ! t{ �' d� e_^ ,C BUILDING SIZE SQ FOOTAGE too 3i6 HEIGHT RTI I I •I T ItTT 1'T'rr'9"Ir rYi'1"T T I�1Ti"r't�l"t"r`r�l'•tr'�'7'T d T" =BUILDING $ l DT f VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $. AMP SERVICE PROGRESS ENERGY W.R.E,C. =PLUMBING MECHANICAL $ r o VALUATION OF MECHANICAL INSTALLATION =GAS 0 ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS i 3 ` FLOOD ZONE AREA DYES NO -6-1-F-1--1- •-i--i-a-4-4-a-C-•F-G-F-a-✓E-1 i-1-i•-F-:•-GAF- --1-F-F-i-C-:a,1-i-I�C-;r-i-i-1-,t-1-1-0-1�v-1-4-:-1-0-�-1--lei-y-°r•i-i-Q-i-t'-f-1- BUILDER �� COMPANY - �`�c) a),c SIGNATURE REGISTERED LY j N J FEE CURREN Y I N Address /crrl �� j� <e .r"h i— License# &BygL s—7,o 6 ELECTRiCiAN � c•. ,� COMPANY c SIGNATURE.. REGISTERED Y/ N FEE CURREN Y/N Address License# 8 4 r � PLUMBER COMPANY SIGNATURE /�,r� "� �.�.� REGISTERED Y/ N FEE CURREN Y/N,/ I Address [ �"'�� License# a tot MECHANICAL COMPANY p"�;Ii� .f,, �dY,� SIGNATURE "s�,^r "" '"'-REGISTERED Y// N FEE CURREN Y/N Address ` x9a.,11_11.0, e5V License# t t OTHER COMPANY ( �^` SIGNATURE REGISTERED Y/ N Y/N Address .�f !�'F s° A E � �� License# i11ii11iTlliliillillllllllllllllilllliilllillllillllil• 0111i18l1l11 RESIDENTIAL. Attach(2)Plot Plan+_; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required on site,Construction Plans,Stormwater Plans w/Silt.Fence installed, Sanitary Facilities 14 1 dumpster;Site Work'Permit for subdivisions/large projects COMMERCIAL Attach (2)completa: }efs of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10)%.,)rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach (2)sets of Engineered Plans. "PROPERTY'SURVEY required for all NEW construction. •i-1-1-.f-i.-1-l-1-l.-l-4-l-i-i.�f-i.:#..;:- ?l,-l-G--l-.i-E-I-l--l..l->R-i-l-l..l-b-i-.l-•i-F-0-a-l-i-l-d-b-�I.-l-l•-3-.i--i.�..i-! 7irections: Fill out application completely. Owner�Contractor sign back of i)piication,notarized If over$2500,a Notice of Comnwricemertt is required. (A/C upgrades over$7500) Agent(for the contractor)or Pownr of Attorney(for the owner)would be someone with notarized letter from owner authorizing same JVER THE COUNTER PERMITTING (copy of contract required) :Ieroofs•if shingles Sewers `3ervice Upgrades A/C Fences (Plot/Survey/Footage) Driveways-Not Over Counter if on public roadways..heeds F40W