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v L„ City of Zephyrhills Permit Application Fax=813-780-0021 <br /> Building Department <br /> Rate Received � �,'�t,�h�,,�€,:.��_^ `7�'r_d�'><"� f�-,^ P-•"�G�" ���'. � <br /> Phone Contact for Permitting -- <br /> Owner's Name i ;- cs r-, Owner Phone Number I <br /> Owner's Address "52ow' ner Phone Number <br /> Fee Simple Titleholder Name ,v i. Owner Phone Number <br /> Fee Simple Titieholder Address f <br /> JOB ADDRESS [�12> 7SPJ'Vemdo2COC19u iQ r LOT# t 3 <br /> SUBDIVISION PARCEL iD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> W014K PROPOSED NEW CONSTR ADD/ALT SIGN 0 DEMOLISH <br /> 'INSTALL. 8 REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION . ��'' BLOCK CJ •FRAME STEEL C]p^ <br /> DESCRIPTION OFWORK �n�L Jal!� �cvL� � 5m� e.' .7c� <br /> BUILDING SIZE SQ FOOTAGE +�_ZVR i HEIGHT <br /> 'rr-rl�-r"rrr-rr r--rrs"r'rrP-rnrr-In"r-rTc-ra-r-i--rr'It-rrr-r'Y-r'rQ-ri-t"i-r-r-P-r'rrt-Ili-r-a a I a~Q-r- <br /> BUILDING $ afl 1ow <br /> VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRiCAL $. �! wo AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBiNG $ '� <br /> a <br /> MECHANICAL $ CW VALUATION OF MECHANICAL INSTALLATION <br /> f <br /> =GAS [ ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS , FLOOD ZONE AREA [ YES NO <br /> .p..1...I-1-�•-o...a-;.-g..�_�p-p-.r.-.p..•;-�1--F-c� 1a--1--I�(�i�-o..l..,l-:-�.y-p..:-1-i..;-:-�.,�.-1-G-:•.4-1-a-a-E-a�•l•-a•-Fr-:-1,•�..�➢a.;�,-°.�-1-1-.p..�.� <br /> BUILDER "�f _ �� COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address /c�li[3,? ,rr y License# ' � 7� ' I <br /> ELECTRICIAN s .r �' - COMP ANY <br /> 31GNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# Q� <br /> SLUMBER COMPANY <br /> 31GNATURE REGISTERED Y I N FEE CURREN Y/N <br /> Address � r ! �i� 'iJ� y - License# l <br /> AECHANICAL COMPANY > ' <br /> SIGNATURE 1 Ems' rG�� ". .'_'_'REGISTERED YF/ N FEE CURREN Y/N <br /> Address ✓ `e�'r� A �'.. /� "� a jr�srul1`ee License# <br /> )THER _ .•>- - .-.. COMPANY 61 e' /4A11 d1? x .— ? 41 <br /> HGNATURE a" REGISTERED Y/ N FEE CURREN Y/N <br /> Address C'� License# F <br /> lillli �' iiilliliiii11i111i11i111111111111illlilllli111811 <br /> IESiDENTiAL Attach(2)Plot Piar.,.; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten (10)v.,orking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed, <br /> Sanitary Facilities& t dumpster;Site Work'Permit for subdivisions/large projects <br /> :OMMERCiAL Attach (2)complet( 3efs of Building Plans plus a Life Safety Page; (1)set of Energy Farms. R-O-W Permit for new construction. <br /> Minimum ten (10) )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities• 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> ;IGN PERMIT Attach(2)sets of E:igineered Plans. <br /> ""PROPERTY'SP.-IVEY required for all NEW construction. <br /> 1-.f..1-�1-4-0-1••-➢-1-4-1-.8-1-1-i�.. .-i-8-d-.'�-i-f-�-�-i-i..tS.-�-.E-i-6-•Q-1-9-8-I-1�-�-•!-1.�.-1-L..�-d-.H-I�-k-{�.-i-6..1...�-6�A-1-.I�b-4.-6 '�.�d-.&.•a. <br /> lirections: <br /> Fill out application completely. <br /> Owner 4 Contractor sign back of. )placation,notarized <br /> If over$2500,a Notice of Commvneemerit is required. (A/C upgrades over$7500) <br /> Agent(for the-contractor)or Pow(.-•of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> 1VER THE COUNTER PERMITTING (copy of contract required) <br /> eroofs•if shingles - Sewers :service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />