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.010-1ou-uUGu City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting -- <br /> m 1 11 N A m <br /> p <br /> Owner's Name J , , Owner Phone Number: �� fJ <br /> Owner's Address � � j� i'�" �'' �� f��J? � ��owner Phone Number �— <br /> Fee Simple Titiehoider.Name ri: 'c- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> v� i hs FL 33�tt LOT# <br /> JOB ADDRESS ,r^� j �r� <br /> SUBDIVISION l.a�('� eA C.) � PARCEL ID# t1 r���� 1' Q Vt 1 -6 01-6 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT [� SIGN [� DEMOLISH <br /> INSTALL. • REPAIR <br /> PROPOSED USE SFR C] COMM OTHER <br /> TYPE OF CONSTRUCTION , �� BLOCK FRAME STEEL Q <br /> DESCRIPTION OF WORK J �' �h Ly Fiff <br /> fly <br /> BUiLDING SIZE X36 I SQ FOOTAGE 1� $ HEIGHT <br /> 4 M 6 <br /> BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $, AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> 'v-:-1-i��°�➢�5��'-°a-�F-➢-1-5-@-7*- <br /> BUILDER COMPANY LD, 9 � <br /> SIGNATURE " REGISTERED Y/ N FEE CURRER Y/N <br /> Address j a �1 l ��'Ce� i License# -' - � ' " I <br /> .ELECTRICIAN' � � �-��`'�-� <br /> COMPANY � ,rl? �"J E�'{ �"'rr' <br /> SIGNATURE REGISTERED Y/ N FEE CURRER I Y/N <br /> Address rp"� � .r?',a License# - -� �' <br /> PLUMBER � -� 1 .... . .,- --- COMPANY t' ra'" ,� N�6', I���►;PyJd� �A <br /> SIGNATURE 71x7 REGISTERED Y/ N FEE CURRER Y/N ,gyp <br /> Address Y� a JK r miE l �.- t r License# a PIi- <br /> MECHANICAL COMPANY p"'A�i �a all <br /> SIGNATURE �a¢ ..- -^d'''" ^^"' "_REGISTERED Ya( N FEE CURRER Y/N ' <br /> Address A^"�-r'"�'E. ,�`�sa a "'ct� � `j License# <br /> OTHER _- �- COMPANY � � s9rk �)r� .2a�i' - <br /> SIGNATURE �` ' REGISTERED Y/ N J FEE CURRER Y/N <br /> Address 2 8'- ^°F� l(� er � License# <br /> lilalIlll' tt11111t � t111tilitlliiliiilltllilllliii1111111161ii1111111 <br /> RESIDENTIAL Attach (2) Plot Piano: (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£., 1 dumpster;Site Work'Permit for subdivisions/large projects <br /> COMMERCIAL Attach (2)complete 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)�.)rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence'installed, <br /> Sanitary Facilities 1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance <br /> SiGN PERMIT Attach (2)sets of E rigineered Plans. <br /> "ftPROPERTY•SI.',gVEY required for all NEW construction. <br /> ..G-{-b--0.�l.'-I.�d-d-.1-i-�-I•-i--I.-I-�..'�.;'al-.�l-l.-d4..i-C.-b-a.-I-.G-�f--)S-E�3-6.d..ti-B..)t-t-i--b.-0-6.-b..l-.i-�-•B-B-t--9-�..B-6.k..mBvp�-ik.�...I.,.6-8--0.06-1- <br /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of 0plication,notarized <br /> If over$2500,a Notice of Comn a-ncement 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 /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles • Sewers :service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.•needs ROW <br />