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d 10-fay-uW-lu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department _l <br /> Date Received <br /> Phone Contact for Permitting <br /> T f-i t'T 1Ti-_ { <br /> Owner's Name a l� c r. �= Owner Phone Number L <br /> Owner's Address �«�- �=!'= �-"" ' �''° ���^/��� '� .r Owner Phone Number <br /> Fee Simple Titleholder.Name tv Owner Phone Number �— <br /> Fee Simple Titleholder Address ++ <br /> pc1 l <br /> JOB ADDRESS (Q-/{J�"'� LOT# <br /> SUBDIVISION 4A C> PARCEL iD# C!� /: `c^t <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ; <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN = DEMOLISH <br /> 'INSTALL 8 REPAIR <br /> PROPOSED USE �� SF COMM OTHER <br /> TYPE OF CONSTRUCTION . L�-J" BLOCK 0 FRAME STEEL .�{ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F SQ FOOTAGE S0( 1 t HEIGHT <br /> 'e—r^)rTZ•r�r^T r-r-1—m�" r�7-T r�7'-t�1'-r�rr'7lrl"i'Tr'Q"P'1'T'1�iTf�1 7��1`"r-4�r�C"A"�"1'7�1'9 <br /> =BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $• AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING Is <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS l�3 V 3 O FLOOD ZONE AREA =YES NO <br /> -C--'Ii-C--1-i-1-C"�"-C--1'-1-1-1'-B-C-{-1-C-G-F-I-�^I'-1-1-•i�i-F-i-i-�-i-:-Ir-�--+�-+'-r-G-i-•➢-G'-:�C-�4�.-6-6-•6`-"v-a-4-:`�-1-�-:-1�i-1'-°t"'•-7--"•-a--F-I�''- <br /> BUILDER ; , ' COMPANY <br /> SIGNATURE " REGISTERED Y/ N FEE CURREN Y J N <br /> Address Jr �C7e� l� �� <e e� �" C"3C.C�.�5`7<0 Cos 2License# �r <br /> FLECTRiCIArt COMPANY , 1 �,� a <br /> SIGNATURE d REGISTERED Y/ N FEE CURREN Y/N <br /> Address e License# <br /> PLUMBER 1 -^T "— COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y j N <br /> Address. ')"� �.: T; c.' i License# <br /> MECHANICAL COMPANY A`�i /` '� �d� drf` :�' <br /> SIGNATURE f�`��"�G -REGISTERED Y// N FEE CURREN Y/N <br /> Address . �� � �'.� f�� �', "�.to � �� License# � <br /> OTHER �,-" -. T COMPANY <br /> SIGNATURE '_ � <br /> �•� ,# REGISTERED Y/ N FEE CURREN YIN • <br /> Address NAC11 � �A� License# <br /> 1 1 1 1 d R 1 IIIA III gill I I I,:1.},w. fwn <br /> RESIDENTIAL. Attach(2) Plat 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/Siit•Fence installed, <br /> Sanitary Facilities&t dumpster,Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)complete 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)i..)rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt 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-SURVE <br /> Y required for all NEW construction, <br /> .i-.I-6-#-1�1-I-1..1-i..1.I- -.1--lI-a�I...:T,�t-I•-I-I-�..➢�.I- -.t-i-i�i�t-I-b-b-I.-t_.i-6.- 1 4-4.4-6-I•.6• <br /> :)irecticns: <br /> Fill out application completely. <br /> Owner�Contractor sign back of i)piicatlon,notarized <br /> if over$2500,a Notice of Comm,A,ncemertt is required. (A/C upgrades over$7500) <br /> Agent(for the contractor) or Pownr 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 • :3ervice Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />