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a10-1ou-uu2u City Of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> a�Q?.cozy' <br /> Date Received <br /> Phone Contactfor permitting -- <br /> -1-1-nI'T'1TC-" <br /> Owner's Name Owner Phone Number } fJ <br /> Owner's Address lv , p,' � � OwnerPhoneNumber <br /> Fee Simple Tltleholder.Name r n- Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> ll <br /> JOB ADDRESS t S LOT# <br /> SUBDIVISION u;- PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ; <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN <br /> ' 0 DEMOLISH <br /> WSTALL_ REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION , �� BLOCK ::r FRAME STEEL 0 <br /> DESCRIPTION OF WORK {r1�' 1G p c 7 7 �, i'j d���'e." E' <br /> FOOTAGE ZY32 / <br /> B17tLDING SIZE SO T•�' HEIGHT ' <br /> -rrr-rrm-r�-rrrrnl-r-nrrrrrr-rrrrr-rrrnr-rrr-rrrrmr-rrr0 A I X M I A 9 1 r➢-rr-Q-rr�rm <br /> BUILDING $ T 1 O I VALUATION OF TOTAL CONSTRUCTION <br /> ]ELECTRICAL $. . S 0� AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ 06 r1 1 <br /> r `� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS l�z, e2 FLOOD ZONE AREA =YES NO <br /> ATI�'lTl 4-414 RT 114 9 11 11 <br /> F�'i41 <br /> BUILDER" Y <br /> ' T�s;;,�' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address %rGsC�v% /� �� G4.�i ,✓7.P >�i�� �. I�1�3C109c-7 Q 6 2 <br /> License# <br /> ELECTRICIAN � .-�--�� - COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN . Y/N <br /> Address B°� -'�pOsC`' ,r? I License# <br /> PLUMBER COMPANY <br /> SIGNATURE " ���• ���� <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Addressrr �! �r�� � r,'��c'• ° '. License# <br /> MECHANICAL COMPANY <br /> SIGNATURE 1�" aX " G-�' —REGISTERED Yj N FEE CURREN Y!N <br /> Address L_`VC2 Ar..s-X0, CV License# IC_0-rF3fi ,1�J <br /> OTHER COMPANY <br /> SIG <br /> NATURE REGISTERED EY/ N FEE CURREN L Y/N <br /> Address �9 �� � , ,, License# �T <br /> 1i1111111" IIIIIIII � N111111111111111111 ➢ NIl11Il11I1 ! •i ➢ l110 ➢ INI ➢ ➢ IIIii <br /> RESIDENTIAL Attach(2)Plot Plans:; (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£a 1 dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)comp►ew lets 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/Silt Fence installed, <br /> Sanitary Facilities c 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'St!,gVEY required for all NEW construction, <br /> :)irection➢..i- 8�1--➢-a..➢.-i-➢.�➢-I�i.,.' i-S..c-'J.-➢..➢-6-is➢-i-.i�1- �➢-➢-4—➢-1—i...➢�-.4-1 ice➢- -0-➢--5.1�➢--p..i..l.-¢�9-�.�-•B-F-B-I..6..➢.�.6-4.. <br /> Oirecticns: <br /> Fill out application completely. <br /> Owner�Contractor sign back of i-apllcatlon,notarized <br /> If over$2500,a Notice of Comnivneemeilt 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 /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> geroofs if shingles Sewers " oervice Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..heeds ROW Y.' <br />