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" City of Zephyrhills Permit Application Fax=813-780-0021 Building Department Date Received Ja 1 Phone Contact for Permitting - Owner's Name �, - r� Owner Phone Number L��. 9U Owner's Address -(frog-T 1e ,.. �5 � Owner Phone Number Fee Simple Titlehol der.Name �. e_- Owner Phone Number FeeSimple Titleholder Address JOB ADDRESS S ,0y L07# SUBDIVISION F PARCEL ID# F-1 ,� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED " NEW CONSTR 8 ADD/ALT � SiGN 0 � DEMOLISH INSTALL REPAIR PROPOSED USE F_9_` SFR COMM OTHER TYPE OF CONSTRUCTION . � BLOCK Q FRAME LJ STEEL = DESCRIPTION OF WORK j�l�i J / CG�'�c'Yi '�°�a�t� 2' �'G' Z),�1_7 -}--t BUILDING SIZE SQ FOOTAGE 5j 22 f4 HEIGHT ' -t-p-m-r"r-r-r-Q-s^r-r-t-rr-s-r-rr^rrrr-�"r-rrrrra-r-s-�-rr'¢-t~r s'r-I"r-c�s"c-rrr:-c-r-a'-s-rrf' �BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $, r t j� AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. =PLUMBING $ t =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO -9-i--F-t-�'-C-1�-4•-t-�-a--t-4-C-t--�-i-�".0-,$�-;,}1-t,•.�',-p�t-•.t-t�-t-�i•-i-t-$--t-�;f-t�•`r*I--�~�`-�:-:-t-+I-B-t�-`v-�t-t-tit-t-:�t•�•v�+°u�°a�t-t•-�u-�-G-a-- BUILDER �.� COMPANY a✓^ ^ - g"� cJ^'�-�-"`"' ' SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address � 'G3 l�/ �,m� f� �" I r?� License# - � COMPANYi�`J2rt SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# D=aj30C F71 i V PLUMBER COMPANY .SIGNATURE REGISTERED Y! N FEE CURREN Y/N Address �L r f f *` Tt.- License# a re 0 1/ A' MECHANICAL ,r:.. � COMPANY , SIGNATURE �"' "" -"`'REGISTERED Y"/ N FEE CURREN Y/N Address �1' cr. V f cam �r�citrr �`� e' License# fief! l' OTHER `TA �- - 7 COMPANY SIGNATURE !� REGISTERED Y/ N FEE CURREN Ly!N 3' Address �..^��°,--`'� /��!`� ,��-< � License# �T tl ! ltllll' I11111i4 = 11illltlllllittillitiiliiitlilll .Ytit1' IIiItiilIlll RESIDENTIAL Attach(2) Plot Plan,,..; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)%rorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed, Sanitary Facilities& 1 dumpster;Site Work'Permit for subdivisions/large projects COMMERCIAL Attach (2)complete- refs of Building Plans plus a Life Safety Page; (1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten (10)1 arking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, Sanitary Facilities .,1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SiGN PERMIT Attach (2)sets of E,igineered Plans. '*IPROPERTY'S[.+,gVEY required for all NEW construction, ..i_i�b,.b-.E t-•G-.tab.�•i-.i.•t..E.dt..l-•fib..2--1-i...t-.4.�t..b-.6-4-t-8-d..•b..1..8-.1�i'-�J-6�A-b-t-rS•.+�-.6...I..E-i-6.�.-8..�.1�.?�..&..t-l.',&.m6�d�-.i...�b-.t-.tf,'.�°-6..8.. Directions: Fill out application completely. Owner$,Contractor sign back of i aplication,notarized If over$2500,a Notice of Comn<mcement is required. (A/C upgrades over$7500) ** Agent(for the-contractor)or Powi;r of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs•if shingles - Sewers :,enrice Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if of)public roadways..I!Beds ROW ;;