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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 7—(2- <br /> Date Received <br /> Phone Contact for Permitt'sng <br /> r .ems-L/�- <br /> Owner's Name Owner Phone Number "� ' . tR �10 A(, <br /> Dwner's Address wner Phone Number �— <br /> Fee Simple Titleholder.Name r s i Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C_ Q 1Sr �x� LOT# 2A <br /> 3UBDiViSiON PARCEL ID# S� � 6' 9 - - ' ?A- C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> tiNORK PROPOSED NEW CONSTR R <br /> ADD/ALT SiGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE SFR COMM ;C� ' , OTHER <br /> TYPE OF CONSTRUCTION . [ -� BLOCK 0 FRAME STEEL 0 <br /> )ESGRIPTION OF WORK 5 �/'>Cj lC'�'�c v� <br /> 361LDING SIZE 1 SO FOOTAGE HEIGHT <br /> rT^r-t-r-i-rs-'r-e`fi-r'i-rr-r�T1 -r-rt-r�Inr-rrrrr'r'n-r'r-t-r�7"Q"r-e�-rl-rx-r rr-9 a M N-t-'e-a a W-1'-Q�n-�-r- <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRiCAL $.�� AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ � d ,� <br /> =MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> ( <br /> [ GAS ROOFING SPECIALTY OTHER <br /> =1NISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -8-8-8-8--1--8-F-8-8-G-I-II-i--8-8-14-}- 11-+-•8�4-8-r-F-+1-7�-G -�-- S'r-i--8=a--3-5-e -i-8+1a-B-Q-�-8-'P-8-8-$-:�>�8ma;-- -8--1-8-f-S- <br /> 3UiLDER •' �. COMPANY =-D P c).,­4--e,,- , <br /> 31GNATURE �� REGISTERED Y/ N FEE CURREN <br /> Address %aG�rr %' l�C0.-1) .� !" .) -��-� �- License# -'A <br /> Fc-- 03 f-1 Q 6 :2 <br /> _LECTRiCiAN � ,.� COMPANY I1'1 <br /> 1101NIATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address d�'*�-? 'O�OO" u ��le�,; License# � <� r <br /> 'LUMBER COMPANY .�` d'b"L <br /> slGN 4TURE '' REGISTERED N FEE CURREN N i <br /> Address r fic� �,�v fr+4>. a ` License# I a re 0 <br /> AECHANiCAL COMPANY p""��;( ' +� ' 3ac 4,r �, ,'-An— <br /> NGNATURE (�*' �, ..-G�` REGISTERED YI N FEE CURREN Y/N <br /> Address ' `gJ"a a�`'rt� / c rSe�f, Ucense# C/1c of? 6 BBB� •. % I <br /> ' <br /> )THER __.. -.. COMPANY <br /> 1IGNATURE '' ~'`� - <br /> . pp REGISTERED Y j N FEE CURREN Y/N <br /> Address V 521 ,, ~- /1)111�n "1?4/1/1;1;�, License# <br /> 816i1ii81' lillltil � llllllllllllillllllllllllllllllilllillllllllllll•1 <br /> tES1DENTIAL 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/Si1t.Fence installed, <br /> Sanitary Facilities f• t dumpster;Site Work'Permit for subdivisions/large projects <br /> -OMMERCiAL Attach(2)completf 3efs of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)N.arking days after submittal date. Required onsite,Construction Plans,Stormwater Plans wj Siit Fence installed, <br /> Sanitary Facilities 4. 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> ;IGN PERMIT Attach (2)sets of F igineered Plans. <br /> '.`***PROPERTY-SI'.IVEY required for all NEW construction. <br /> lirection -8-8-8.-8-i-L-B-8-.b-8--8-�1.=a8�1.-i-.8- -8.-8.-8�8..�.B...L4-8-5..8->I•-1!..B-8--i-8..8- -8-.8--8-8-�-d-.B-B-�.8.-d4..t6..8- 8�8-*A--1-.8 �a-P..6-8.-8... <br /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of �)plication,notarized <br /> if over$2500,a Notice of Comn !ncemeht 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) _. __. _.-_ '"`re`-' `: ".."" <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> ai . . . . . . :�: urn.. ..., •! ,.�t,`,: <br /> is ;i . . ` `. °A- <br />