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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received6F <br /> Phone Contact for Permitting -- <br /> r <br /> Owner's Name �, j e: Owner Phone Number a 1 1 _ �� �J <br /> _ t✓ <br /> Owner's Address 'J;2 'OA-'-,I e c t V,' TG,1,,,�,59owner Phone Number T `� <br /> Fee Simple Titleholder Name �- ,r� Owner Phone Number <br /> FeeSimple Titleholder Address <br /> JOB ADDRESS . veror 141,yvon LOT# t <br /> SUBDIVISION � �i [ 1 3' r •Q C� PARCEL ID# v o "" ^Q �{ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e'er-NEW CONSTR R <br /> ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F_9— SFR COMM :0 OTHER <br /> TYPE OF CONSTRUCTION.• Eg--" 'BLOCK FRAME STEEL 0 <br /> DESCRIPTION OF WORK1w'c J �+'Y1� Tc�7 �C?5�m� .' "c�► �^t 2-'' r* <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> -rv-r-r-�-�'-e^rr~•e-a-rr-r-tr'r-o-a�-i-',r-^e-�-e-r-e"s"["i"r�t-l-n-r-rr^rrr•a-s-�•-�-=-s�r7t'rr's-�-r'-r-'e-r-r'�i-•rr--v-r��a•->r-�-rra'r- <br /> =BUILDING $ j r7 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL , �� AMP SERVICE PROGRESS ENERGY W.R.E.C, <br /> =PLUMBING Is ct,( TO <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> r <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> .�..�.,.1..�!_.i.�l..�.;<..i..�.�1...��...�..�.�..a._t—:..�r�..�._i...�..t�—�-.:.N..�-:��-;�~�;—;;—i•..$..o..�r;�..:_1..�._i�-��—n.�..�1•.a�..,l�.. <br /> 3UILDER COMPANY �1�� - � - ' 4T)-C- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address %a�C41i,`1 /�r t�,r+7 .� r"' 1 i�� License# <br /> ELECTRICIAN COMPANY .le'n C �,5 <br /> `JA ' o <br /> SIGNATURE �+ ,n REGISTERED Y( N F.EE CURREN Y/N <br /> Address 6r� � A° 'P�A C° r .r ,n� License# <br /> LUMBERS- �'' � _ COMPANY !/ <br /> SIGNATURE REGISTERED Y( N FEE CURREN <br /> T^ <br /> Address � r ' r Ar/ It s'R � � License# ra# el /"�y r` i <br /> JfECHANICAL ,la COMPANY <br /> _____ <br /> 3IGNATURE ^{ ,r '� REGISTERED Y( N FEE CURREN Y(N ,� �•�' t� <br /> Address ✓` _A �� � a� �i'�a a car t� `/` 'j' License# C,4r4 0,?-- j 1 <br /> )THER -> COMPANY <br /> )IGNATURE / REGISTERED Y/ N FEE CURREN Y/N <br /> Address NAIC License# F <br /> ! ! ! i ! itit' I111 ! ltf ' 1lllitl111llliililllttilltilllil •1lti1111t111ttllt <br /> IESIDENTIAL 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)v.-orking days after submittal date. Required onsite, Construction Plans,Stormwater Plans w/Silt.Fence installed, <br /> Sanitary Facilities Fl 1 dumpster;Site Work*Permit for subdivisionsAarge projects <br /> ,OMMERCIAL Attach (2)complet( gets 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 )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 /> ;IGN PERMIT Attach (2)sets of E.igineered Plans. <br /> :'***PROPERTY•Sl.r,gVEY required for all NEW construction. <br /> 3_4_�_O�-i-1-l-.t--Il,..11--4-:1., -1-6-f.t-8-.t- 6-@-i-Z.-5--1-.t-4-l-b-E.-B-.t-Ib..B--@-i-8- -6-i--b-.B•--. .Q-¢--CIS..E.a6�6�R..t...)1�6--9-iL-H•.•b-a-L4: <br /> lirections: <br /> Fill out application completely. <br /> Owner i Contractor sign back of. iplication,notarized <br /> If over$2500,a Notice of Comn:rmcemeht 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 /> ,VER 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 />