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-o 10-10U_UW1u City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department p <br /> Date Received -a,a s`I r �A- "v do <br /> Phone Contact for Permitting -- <br /> Owner's Name ,es t-. Owner Phone Number � �. � .�/,7y <br /> i ce ,"Te le c• ,rr ,.� a• >5 �y (� <br /> Owner s Address � T�r'�"/�'��� `:� P Owner Phone Number <br /> Fee Simple Titiehoider.Name G r✓1 i Owner Phone Number <br /> Fee Simple Titleholder Address <br /> p` � LOT# 2.( <br /> JOB ADDRESS f r ¢� 64 rillL c, <br /> 7 <br /> SUBDIVISION ✓ �'!" e PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CON ADD/ALT SIGN DEMOLISH <br /> 1NSTALL.STR REPAIR <br /> PROPOSED USE ©'— SFR COMM OTHER <br /> TYPE OF CONSTRUCTION . �/r BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK �L 5- , eS <br /> BUILDING SIZE C � SQ FOOTAGE'�js� �-• [ HEIGHT <br /> r^s-�-t-r-a--r^rrmrr�-r-r-e�-r rr <br /> =BUiLDiNG $ Q VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $. \ AMP SERVICE PROGRESS ENERGY 0 . W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -6-@-fi-�B-I-I-S-C-F-9-A-1•-6-C-�-•�-•p-�l-I-9-i-,7.-i•-�••i-•E--I-i-�-t�-�-:-1-1-•l-o-i-'•-�-F--6-1--➢-�-I�-"+�-6-P-;--I-•a-•�liml�i-I-,7�-I--4-C-I-i- <br /> BUILDER ����... COMPANY a - 9"� - " `'� ��' e <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address /,Vt [7,9 it<0., i, I�-��� �" License# 013' '03510 6 2 <br /> ..ELECTRICIAN L") '� COMPANY �'�'In0 <br /> SIGNATURE '� REGISTERED Y/ N FEE CURREN I Y/N <br /> Address 6�* A�=`A� °" ,r7'� "- License# <br /> - q <br /> PLUMBER ^��'""�� : COMPANY P'"° I(!a'"Fa�•f�f <br /> �� ' �' ►; <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/'N,/ <br /> Address v, mrr ll r�'� License# p/ ' <br /> MECHANICAL ) COMPANY "" r;lf� • � ° ; � �= <br /> SIGNATURE -"--REGISTERED YrI/ N I FEE CURREN I Y/N <br /> Address 'Fv /9a, .14e^" ry /vC P nr'Cf �` '�' License# CAC:0 <br /> OTHER �' `.�._.� . COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N l <br /> Address License# <br /> Iii1iliihlliliili �' 111iiili ! liilitllillilllllllllllAllllllilllllill ! <br /> RESIDENTIAL Attach(2)Plot Plara; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten (10)vtorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed, <br /> Sanitary Facilities b I durripster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)completf }ets of Building Plans plus a Life Safety Page; (1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten (10)r.)rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitiesc. 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SiGN PERMIT Attach(2)sets of E•igineered Plans. <br /> **"*PROPERTY,SI•:,IVEY required for all NEW construction, <br /> ..l-.i...l-I-.iS�l--8.9..i.-I-.i..l-i--l-.l�l.-b�::..d-lS-.1-•tt-i-6-b..i..i-6--i'^1�1-3-6-�.-i.-B..6-.9-.1F-i--I-6..i.-6�0-d-.8...6-d-�i-4--l-.l-e:9_6�d-i-@®I.J1-I-."�-0-.0•�li. <br /> Directions, <br /> Fill out application completely. <br /> Owner�Contractor sign back of =)plication,notarized <br /> If over$2500,a Notice of Commimoement is required. (A/C upgrades over$7500) <br /> ** Agent(for tiie,contractor)or Pow(.,-of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers - ')ervice Upgrades A/C Fences(Plat/Survey/Footage) <br /> Driveways-Not over Counter if on Public roadways..I!eeds ROW <br />