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010-1OU-UUXU - City of Zephyrhills Permit Application Fax-813.780-002e <br /> Building Department <br /> Date Received i 'rr <br /> Phone Contactfor Permitting <br /> p <br /> Owner's Name -� s r-. Owner Phone Nu :Or <br /> Owner's Address T1 �J Owner Phone Number <br /> Fee Simple Titleholder.Name Owner Phone Number <br /> Fee Simple Titleholder Address tt <br /> JOB ADDRESS $,g c� LOT# L( 4 <br /> SUBDIVISION CAC PARCELiD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SiGN = 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE OJ SFR COMM . OTHER <br /> TYPE OF CONSTRUCTION . BLOCK 0 FRAME STEEL _ <br /> DESCRIPTION OF WORK �r1L'L �j�✓Yy 1C �r � ) r�"�e�C�C.' JJ 'er�3 � �^� 2-'' `. <br /> BUILDING SIZE SO FOOTAGE N HEIGHT <br /> a 1'-9 a I M AITT�r TAP"1�"T1�iT➢'T'i�1�1"Y�r'V�rPTI�i" <br /> =BUILDING $ <br /> �(`�(�� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. Q AMP SERVICE PROGRESS ENERGY W.R.E.C, <br /> =PLUMBING Is Gt ( � 1 <br /> =MECHAN4CAL $ r t �d VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -1.-➢-➢..p�{-➢...0...1-m-•4-a-➢•-a-•➢--C-c-0-1-•t--a-�-1•-0--i}'-�-➢--r,.•.1-;-F..1--➢--:•-:--i•-➢•a•-r,➢-�-➢--p-:-'�-1-a-.1-.➢1-@-a-➢-:..`:-➢•-1-➢-1�t-➢-°...➢-+1-➢-➢-a-�-Z- <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address Z �"�ra� xx le-co r" License# a,CZ-0.T-7'd 6 w2 <br /> ELECTRiCIAN ��f �e� ,�"�,� COMPANY d,�d`1 C3n 9,J-a E Z,-C A'" � C <br /> SIGNATURE D REGISTERED Y/ N FEE CURREN Y/N <br /> Address a'J. �QJ���r /f°t`" � License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ( , License# Q d' <br /> MECHANICAL r COMPANYd, r <br /> SIGNATURE TERED Y// N FEE CURREN Y/N <br /> Address �` ` _--• t � License# <br /> OTHER ,—a COMPANY <br /> SIGNATURE ~� <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Address t➢ c a � xt)10 '7y r License# <br /> ➢ ➢ ill i l t 1" 11 1 1 �` n <br /> fill111111111111111111111111111Iil1I11111011I ➢ 1iI1B11 <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)vtorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit•Fence installed, <br /> Sanitary Facilities i', i dumpster;Site Work•Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complett- nets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction, <br /> Minimum It (10)x,.)rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities ci 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,St.!,RVEY required for all NEW construction. <br /> 31rections:1G-J_1-➢--f-a-i-i•.i_➢-i=i. : 1-�i-➢_G-i-t--d-�.-➢--i--i-F-i•- -i-➢-t-➢--8.�_I--6-6_3-i-i-0.i--d-B-i-i..B-i-a-.➢--➢..9_Omd.-�.-➢A.G-i..&-1.-1-0-1*. <br /> �rrections: <br /> Fill out application completely. <br /> Owner�Contractor sign back of i)plication,notarized <br /> If over$2500,a Notice of Comnwncemertt is required. (A/C upgrades over$7500) <br /> Agent(for the-contractor)or Powor 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 ' .`service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways,.heeds ROW <br />