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uv_vv, v City of Zephyrhills Permit Application Fax-818-780-0021 <br /> Building Department <br /> Date Received <br /> _r-y- r_y_r7 Phone Contact for Permitting -- p <br /> Owner's Name C:� c� f-. #= Owner Phone Number 11 it <br /> Owner's Address ��2cog 7,,-- �� �`� '"" p''� T��^������ �520wner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number [- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS kDon r- LOT# <br /> SUBDIVISION c-, PARCEL iD# <br /> - . (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT 0 SIGN 0 DEMOLISH <br /> 1NSTALL • REPAIR <br /> PROPOSED USE ��"` SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION _ �� BLOCK r^:� FRAME STEEL p` <br /> DESCRIPTION OF WORK ��L� �`�-1(�Tic i►� � it�'S�mt �l"� � �J�'cs� Z-�?�� � t �{�`� <br /> BUILDING SIZE --� SQ FOOTAGE(Lf Z HEIGHT ' <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $• o4 AMP SERVICE 0 PROGRESSENERGY 0 . W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION 43 1 <br /> =GAS ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � Z FLOOD ZONE AREA =YES NO <br /> .C-C 4-G-➢-➢-1_ -¢sF-F-1--➢��-➢-a-ID•-�-;-:-•`rr-➢--61-1-:-�-'w-➢-fir-}jam' n'-1-➢-'r-l•1•�r-➢ol�u-C�e-➢-➢-J"�--➢-•8- <br /> BUILDER � COMPANY ° <br /> SIGNATURE ��- REGISTERED Y/ N FEE CURREN Y I N <br /> Address �cJt'o47ijj l�� 'Gea.*ri t'" �'' License# -Q <br /> LECTRICIAN �, ac- - COMPANY de'fn, 0,Y�9,N'f <br /> SIGNATURE f REGISTERED Y/ N FEE CURREN Y/N <br /> Address- rOn�O" . rzr ,r " � License <br /> 'LUMBER COMPANY kema q lov,4, '`r��� <br /> 3IGNATUREy — REGISTERED Y/ N FEE CURREN Y/N <br /> Address e r 'r� License# 01 FC OW-2- <br /> JIECHANiCAL COMPANY <br /> 33,16NATURE ( / '� �•�^''""'��� ^^^ __---REGISTERED Y KI N FEE CURREN Y I N <br /> AddressgG�r'�s�,� fix* �+�Ia.apr"E,r."irf5�" License# <br /> )THER } , � COMPANY <br /> )IGNATURE ( _�/ REGISTERED Y/ N FEE CURREN Y i N <br /> L <br /> Address _ � � • <br /> �.��,^ 1�'f- ����� License# <br /> 11llilill' i11l1111 € t ➢ lttlltilii1111liI ➢ iiiIIIIIIIII •IIDIl1tl11 ➢ IIDItI ➢ ! <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.-irking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w(Slit•Fence installed, <br /> Sanitary Facilities& 1 dumpster;Site Work•Permit for subdivisions/large projects <br /> :OMMERCIAL Attach (2)complew•nets of Building Plans plus a Life Safety Page; (1)set of Energy Forms.R-O-W Permit for new•construction. <br /> Minimum ten (10)1 irking 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.Ail commercial requirements must meet compliance <br /> ;IGN PERMIT Attach (2)sets of E.igineered Plans. <br /> '."***PROPERTY'Sl,!RVEY required for all NEW construction. <br /> I..i..6..➢-.�-L-i.-')..4.�..1..-4-➢--➢-1-➢.�i..•�...I..i.»➢-,8-.i-➢-.L0a5-�.➢-.6.-➢-i-.5-➢--➢-➢.�..t..R-d-ail-t•-➢.-I.-➢.-6..➢�,➢-!`b-I'�-��,-8-➢..C�9_D�!-.8.-➢-C-1-6..�..4-O..lI-. <br /> Ilrections: <br /> Fill out application completely. <br /> Owner�Contractor sign back of.i)plication,notarized <br /> If over$2500,a Notice of Comn.vncemerit is required. (A/C upgrades over$7500) <br /> Agent(for thwoontractor)or Powl 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 - :iervice Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on 5ubiic roadways..needs ROW <br />