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City of Zephyrhills Permit Application FaX=ats-Tao-ooze <br /> Building Department <br /> c? <br /> Date Received . <br /> Phone Contact for <br /> permitting <br /> -T--m-i-i'T <br /> Owner's Name Owner Phone NumbertI <br /> Owner's Address 55 520w, ner Phone Number <br /> Fee Simple Tltteholder.Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> f $ <br /> JOB ADDRESS Iq 30 LOT# <br /> SUBDIVISION �''=�" � PARCEL ID# ' -60 <br /> sc <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ; <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ©f SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION . �� BLOCK FRAME STEEL (�& <br /> DESCRIPTION OF WORK ti'raCT -17;f �.'dG' <br /> BUILDING SIZE F = SQ FOOTAGE HEIGHT <br /> -ri-m-nr-r-rrrm-nrr-r-rr^rnrt-I-I-rr-r�->I-tr�r�m�r-r-r•rrr-i-Irre-r-mr-m-i-rr�-mu-I-a-rrrm <br /> �i3UILD(NG $ a� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> OPLUMB(NG $ <br /> MECHANICAL $ q VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS , Z� FLOOD ZONE AREA OYES NO <br /> .-i.s.a- -a -a-.;--1.,a-•a-@-•a-a-@-@-F•-a•-a-a-@-a-�a•-@•-c-:-a-•,-i-@-a-,"-i-t•;�•@-T-@-a•-:-a-1 -s•-a�-'.-@-•;�-:-@ ...... . -1-• <br /> BUILDER COMPANY-,� � COMPANY _ 9 -�''"' h <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address Irf-<-e0 License# ��? <br /> ..FLECTRICIA( COMPANY 0,5'�,o r e` �" I <br /> SIGNATURE REGiS`rERED Y/ N FEE CURREN <br /> Address 6 -`� � ° G ,'tom License# � 4r � <br /> PLUMBER s ��� COMPANY t' I_11`�,f r G'if�9' <br /> .SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address x" �.��ffr mc� / �• ,r�C License# �� <br /> MECHANICAL ' � 1COMPANY P6�Ai,t re o-i11sr �r ,�; � `��Y <br /> SIGNATURE G/' .. . REGISTERED Y// N FEE CURREN Y/N <br /> Address � ca.a �c.v! f :f License# 9 ?!.1 1 <br /> ®; n <br /> OTHER = .�_ ,�1� - ,-.. p COMPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURREt\ Y I N <br /> Addressy Y1��'` � License# <br /> itltillil' IiIINIINt+ 11IIIINN1llllltllllttl11111i111 ! •I11l1•Ilall ! @ailaN <br /> RESIDENTIAL Attach(2) Plot Plant:; (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£u 1 dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)completf• 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)x )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities :,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'SI.',gVEY required for all NEW construction. <br /> .�..i._�.I..;<..a.-aa_a.�..@-.N-a-1-:.:a.. <br /> Directions: <br /> Fill out application completely, <br /> Owner�Contractor sign back of 0plicaticn,notarized <br /> If over$2500,a Notice of Comn vncement 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) y A t_ µ :_.,•._,,•,,.,,.>,., , <br /> Reroofs•if shingles Sewers '3ervice Upgrades A/C Fences(Plot/Survey/Footage) = -:- ` <br /> Driveways-Not over Counter if on public roadway' <br /> s..rteeds ROW <br />