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a 1.5-10U_UuZU City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivedr�i` <br /> Phone Contact for Permitting -- <br /> -!Tl <br /> Owner's Name a 0 i1_4 1cs 11 E= Owner Phone Number <br /> Owner's Address 'la(r.,0A"Te!'~�-`'� '�' p,r T�"�"}��J�� `� )Owner Phone Number <br /> Fee Simple Titleholder.Name C_,,vn: 'C_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS j LOT# 13 <br /> SUBDIVISION PARCEL I D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ; <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT L-�� SIGN 0 DEMOLISH <br /> INSTALL. REPAIR <br /> PROPOSED USE ®— SFR COMM OTHER <br /> TYPE OF CONSTRUCTION . BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK ��1 't-� J�n� ���'�cY►� �'�atc�'e•" rM cry L � �Z ". ti. <br /> BUILDING SiZE F S.FOOTAGE�Qtlr HEIGHT <br /> `rar-t`r-e-In"r'rrrr-r-x-r'r�-r-'t-v"'r-�"s-r�"rrr�lrrf"�_�-'t"r'ry"r"1"r^rrr�-rre�'�-•t'�"'rrra"r'rlt-r-y_r'.>I-�"r'�'�r.�-�" <br /> =BUILDING $ (�Q 1 Od-O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. i t tT 6 AMP SERVICE 0 PROGRESS ENERGY 0 . W.R.E.C. <br /> =PLUMBING <br /> 0 MECHANICAL $ & VALUATION OF MECHANICAL INSTALLATION <br /> .. oa <br /> I . <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> •➢-•➢-li-Fi-1-1"-a-➢--i-I--1-➢-➢-C-�-➢-➢--➢--a-➢--➢-4-➢-i-i�"e-�--➢-�-'a-�-�'�-;-�:-I-i+➢-➢--e-i-➢�*➢--9-E``-"c�Y ii-:-:-i'-i�--➢m'i�"u-°+r-i-i-14-➢•-➢-1•-'�- <br /> BUILDER Y/ �� ,. _y COMPAN - �� -�"'" a)1C <br /> SIGNATURE REGISTERED I Y/ N - FEE CURREN Y/N <br /> Address %r� [7�1 J� �� < +. I" <br /> p License# <br /> F-LECTRiCiAVN � COMPANY X! <br /> SIGNATURE gg REGISTERED Y/ N FEE CURREN Y/N <br /> Address �s°0?�if���e�-'�� ��' .e ;F" '?'' License# <br /> v <br /> PLUMBER COMPANY =111)WX.. d b"s {t a �a�;r���v,+} C <br /> SIGNATURE r� REGISTERED Y/ N FEE CURREN Y/`N/ <br /> AddressLG �.: License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE ..._,_REGISTERED Y// N FEE CURREN Y/N <br /> Address -_, _'702 a_f feu a.a�`r�r.•t! �`e w � License# <br /> OTHER �:- �/ - - - ^� COMPANY n,av?ax� ._a(��_ . <br /> SIGNATURE �" / REGISTERED Y/ N FEE CURREN Y/N <br /> Address c a.. .. `� j'!�e�" License# <br /> iliillill" iitlilll :� ll ➢ 1111111111111111 ➢ 11111I11111111111- ➢ 111 ➢ 18 ➢ ➢ 1I1 <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/Siit•Fence installed, <br /> Sanitary Facilities& i dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)compiet(! ;efs of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)\.•)rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,. <br /> Sanitary Facilities 4 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SiGN PERMIT Attach (2)sets of Eligineered Plans. <br /> "***PROPERTY-SIJ,gVEY required for all NEW construction. <br /> :)fractions: <br /> .1-f�l�l--1-i.➢-i-i�l-i.:i..,=-.i-,5..1-.i�..4.�➢..1-�..i�i-i-.i�i�/-i�i-ii.-tom➢-�..!`i.-[-1-➢-.I-&�8-➢-1..6-fi-a-.4�i_➢�-0-.i4�&�g.d..u.-1i..1.�8-E-. <br /> directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of i)piicatlon,notarized <br /> If over$2500,a Notice of Comm.imcemeht is required. (A/C upgrades over$7500) <br /> * Agent(far 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..needs ROW <br />