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!OU-UUGU City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting ` -- _i Owner's Name } c� f-. �= Owner Phone Number =t4- Owner`s Address �v�fC t�o�,-T e=j 'ri"' �''f 1 �'D� �� Owner Phone Number Fee Simple Titiehoider.Name Owner Phone Number ^� Fee Simple Titieholder Address JOB ADDRESS 1. knch .'S'•3 LOT# SUBDIVISION. 1=?' rC� PARCEL ID# r: Y "� (OBTAINED FROM PROPERTY TAX NOTICE) ; WORK PROPOSED e'er-NEW CONSTR 8 ADDjALT [� SIGN 0 DEMOLISH INSTALL REPAIR PROPOSED USE F-9— SFR 0 COMM OTHER TYPE OF CONSTRUCTION , [ � BLOCK FRAME STEEL Q DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE 3(0 HEIGHT "t^e^>r•�"t"r'q-Tr�l-i-r'r"rc''><-r-><-r�-n-r-r-a"s�rrs->c-t-�-r rr-�r^'t"'r-r"r"ii--ir-r"ir-:r-r�-r'r'rQ-rrr'i-s"�-s"a:'•4-r"�-c�a- OBUiLDING $ VALUATION OF TOTAL CONSTRUCTION �64t t �� =ELECTRICAL $. ' 0 � AMP SERVICE � PROGRESS ENERGY � . W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION [ GAS Q ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO -11 11 11•4 11-t-yl-�-t-C--t.�-:�-.�-#�.i-:-i-1--B-i-7-t-0-E-�-t�+:--t-�i--�4mSa'�i-s-�+'-C--t-t-@-5- BUILDER J COMPANY a - � "s`�-�-" � ZT)- SIGNATURE C1_ REGISTERED Y/ N FEE CURREA Y(N -� Address C'�.n License# - �LECTRICIA(J COMPANY �°1n-)4f9�..a,0? Ell- COMPANY l' �, --*�' � SIGNATURE v REGISTERED Y( N FEE CURREA Y/N Ad dress. ' v OnO" y License# PLUMBER COMPANY P` r� b' �4 P �'2 .SIGNATURE, REGISTERED Y/ N FEE CURREA Y/N ,gyp I Address r` T r1��r .� z License# (-, MECHANICAL COMPANY p""��►f ' �' d ' �' " SiGNATURE r� � :��' " `REGISTERED Y// N FEE CURREA Y(N Address ✓ ,'� ,�� E. x� , �ak� c•tr� `1` e�} License# 1-0 l' OTHER �( -.--^� COMPANY SIGNATURE ' `� f REGISTERED Y( N I FEE CURREA Y!N G" Address sf 4 ^' " License# �- 1I RESIDENTIAL Attach(2) Plot Plan,,_; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)v,�irking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt,Fence installed, Sanitary Facilities£,1 dumpster;Site Work'Permlt for subdivisions/large projects COMMERCIAL Attach(2)complett lets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new-construction. Minimum ten (10) )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of E.:igineered Plans. "PROP ERTY,SL:RVEY required for all NEW construction. ..I..8..6-A..d.-t.-3..'J..C-.I-.f..l-t-t-(V..t,.:b.....vt.-il-.t..,}9-t-t..,b-y-t-,�...d-»t�-t-.li-.6-.t.-tt-.B..1.-9...B.-t)--�l-B.-t«-�--t-t-tf-9-•3-li�'I�.--8-1-.t...��1.�-6<.-t�-0.-t-�..li-�. Directions: Fill out application completely. Owner�Contractor sign back of 3)plication,notarized If over$2500,a Notice of Comn:,.-ncement is required, (A/C upgrades over$7500) ** Agent(far the contractor)or Powl, of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs•if shingles • Sewers • 'Service Upgrades A/C Fences(Piot/Survey/Footage) Driveways-Not over Counter if orl aublic roadways..needs ROW