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�u uu=u City of Zephyfhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> r <br /> Owner's Name Owner Phone Number 72—Z's t fJ <br /> Owner's Address p r T��^}��� >�-,,�Owner Phone Number <br /> Fee Simple Titleholder Name -,-r-y Owner Phone Number <br /> Fee Simple Titleholder Addre`s,�s <br /> JOB ADDRESS -( S~ LOT# <br /> SUBDIVISION r<-- -VA- C. PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F-9— SF 0 COMM :� OTHER <br /> TYPE OF CONSTRUCTION _ ��'� BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK �r1�c t� a a,-Jq ten T'.•rv,l <br /> BUILDING SIZE S4 FOOTAGE . , '� o� HEIGHT <br /> -rrm- -�-Y--t-1rr-�r-c'i"r-r-r�roTc�r's"e"s'ri-u->r>r-t-r'r-�•rmrr-7"a-r�v'•i-'R-"rw-1"6"r-r�s"r�-ra-r-r-r'e-r-r'a-r <br /> =BUILDING $ (Q C;' I VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $. Tc 00�� AMP SERVICE. PROGRESS ENERGY 0 . W.R,E.C. <br /> =]PLUMBING $ 4 J�n /D <br /> =MECHANICAL $ ,�r`�\ VALUATION OF MECHANICAL INSTALLATION 'i/ <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> 'y�.�➢`••4-1-➢-G-.6�➢-.i�-3--!`�p.�➢�.F.1.��➢�'p'•'➢'^i"•�..p�➢�4�.�!'•'➢"�f'..}r'"1"'1"'➢�F-i-�G�-➢-'➢-i+-i-'r,-9�-8�'`�+6-m-&�+,�ji-H-"'i�o"o1F4+n�'► `v�u-�-Q•�0-1-'i- <br /> BUILDER J� ! � COMPANY - "� "' C: C <br /> 31GNATURE C✓ �` - REGISTERED Y/ N FEE CURREN Y/N <br /> Address %c�6e;l %�/�C ).m r^ Jc.ra� License# _ � 6 2 <br /> LECTRICIAN COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address d��% ���P '09EO" ' �r2 ,'�^' License# B,qoo C <br /> Y <br /> 'LUMBER COMPANY (!tea'"�" •� Gd G' f'� ,d'� e l �h;p <br /> 31GNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address XL��f r �i � 't far :2- License# <br /> VIECHANiCAL ,i ,!:., COMPANY <br /> 316NATURE I� G : `� -^^ -'" -- - REGISTERED Y N FEE CURREN Y/N <br /> Address !g�r°� J... � '' Jsa"' ?c'rt� �`e s j' License# (t 40ri l' <br /> )THER COMPANY <br /> iiGNATURE = "ate REGISTERED Y/ N FEE CURREN I Y i N , <br /> Address �l -��~: � � - License# <br /> I ! ! ! ! l11ullIIIIIIIiI ➢ IiIIIIiiiiiIIIIIIiiiIIIIIIiiI1 .111111 ➢ 11111111I'll <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:urking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed, <br /> Sanitary Facilities& i dumpster;Site Work'Permit for subdivisions/large projects <br /> :OMMERCIAL Attach (2)compiet(. 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)% irking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 6 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•SI..IRVEY required for all NEW construction. <br /> {..i-1-.1.-1..➢�4'-1-6--G..G-1-1-1-1-L=1.=<.�/.�5-1-.1-.M1-1--b-1-1-.8-.5..!1-1...1-.➢a.6-1-1..1.-1.-�.Irt--ffi--➢-1.�•�-•1-6-.tv>r-'�-1-1t-1�-id1.=1..1-.1�-1-1-b.•9-6.d.. <br /> Iirections: <br /> Fill out application completely. <br /> Owner�Contractor sign back of.i)piication,notarized <br /> if over$2500,a Notice of Comn vncement is required. (A/C upgrades over$7500) <br /> Agent(for the-contractor)or Powr 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 :>ervice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />