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City of Zephyrhills Permit Application Fax-613-7e0-0021 <br /> Building Department <br /> Date Received � <br /> Phone Contact for Permitting `'� , -- <br /> ' <br /> I- <br /> Owner's Name r, Owner Phone Number <br /> Owner's Address � � +�� ! �'" *` T f� J'S� y �,�Owner Phone Number <br /> Fee Simple Titleholder.Name ��C ,r�: Owner Phone Number -- u� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> 3UBDiVISiON PARCEL 1D# 0 (JQ- - Z <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> NOAK PROPOSED [ '�-NEW CONSTR 8 ADD/ALT SiGN F�j 0 DEMOLISH <br /> �] INSTALL REPAIR <br /> 'ROPOSED USE ©— SF COMM OTHER <br /> TYPE OF CONSTRUCTION . �� BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK 5'�� �G't�cv�� 'S m�c �. � :^� <br /> 3UILDiNG SIZE �^ SO FOOTAGE � ' I HEIGHT <br /> IrI Ir N^l;"1 9 1 0 -Q ms-o-rn-�r- <br /> IBUiLDING $ ��-4 � VALUATION-OF TOTAL CONSTRUCTION <br /> DELECTRICAL $, AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> DPLUMBING $ <br /> �.C c0 <br /> MECHANICAL <br /> $ � ��� VALUATION OF MECHANICAL INSTALLATION �/ <br /> =GAS ROOFING F-1 SPECIALTY OTHER <br /> :INISHED FLOOR ELEVATIONS O p� FLOOD ZONE AREA [ YES NO <br /> �-Q-�-�B-G-¢-1-a•F-�-E-1--G•-F-�'--1-C--1".p--G-1-'1'-➢-1-I�f'-4-i-"r-1-$-ir-a-$-��+'--•4-;Fir:-�-'�'-.C•�I�S;�H-6-:-I-�i�4�i� ice:-o�-1'�-i-R-i- <br /> 3UILDER '�i •,/ � COMPANY slew . �-�0`A-c" <br /> SIGNATURE a� REGISTERED Y/ N FEE CURREN <br /> Address %oc� l�-/z-cey License# C,13C-054-1,0 f, <br /> ELECTRICIAN r., - COMPANY <br /> HONATURE G� REGISTERED Y/ N FEE CURREN Y/N y� <br /> Address d�' - k~� O�C° f License <br /> 'LUMBER COMPANY f"° /� �f�Af 1 D'dG'Cp9'd raa k` /��'di;Cy!'d�f� ao <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Address— License# a�"c <br /> IIECHANiCAL , COMPANY <br /> iIGNATURE "REGISTERED Y// N FEE CURREN Y/N <br /> Address ��;"� a, ;use."- e5v ��a a%�.�trl�� �� License# I c r� �4 h5 <br /> y <br /> )THER - -^�°. COMPANY ? "f� i �N (J � <br /> ;IGNATURE �'' <br /> REGISTERED Y/ N FEE CURREN LY/N <br /> Address r:r: License# <br /> iiiii1111' IIiiii1111g1111111111111II1I111I-11IIIIIIlIlI1111I1lIIlI91 <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:urking days after submittal date. Required onsite,Construction Plans,Stormwater Pians,w/Silt.Fence installed, <br /> Sanitary Facilities b 1 dumpster;Site Work'Permit for subdivisions/large projects <br /> :OMMERCiAL Attach (2)compietc 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)v)rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities,-. 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> ION PERMIT Attach (2)sets of F igineered Plans. <br /> *'k''*PROPERTY'Si:.aVEY required for all NEW construction. <br /> 6--0...l..Jl.-6..1 f..l�Jf.-i-#-.➢-�-i.-B.-i�••1.-'-�6-3..!•1s-1-i--d-.l�II.-i--b�.E-1-1..1�•.8..6-8-A-6�1--A.�6..t I<..6-�.�5..1:-6-5..1�•.1-S-.t:9.® -fQa-^,...d.-d9..�. <br /> lirections: <br /> Fill out application completely. <br /> Owner�Contractor sign back of =aplicaticn,notarized <br /> If over$2500,a Notice of Comn .!ncemeht is required. (A/C upgrades over$7500) <br /> Agent(for the-contractor)or Powi'F of Attorney(far the owner)would be someone with notarized letter from owner authorizing same <br /> THE COUNTER PERMITTING (copy of contract required) <br /> f shingles • Sewers :,ervice Upgrades A/C Fences (Plot/Survey/Footage) <br /> ays-Not over Counter if osi Public roadways..needs ROW <br />