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City Of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ,r l� 'l � J <br /> Phone Contact for Permitting. <br /> Owner's Name Owner Phone Number ♦ � fJ <br /> Owner's Address � �� !� G" i "' p=` ��r n f�1 .` �520w" ner Phone Number <br /> Fee Simple Titleholder.Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Sf d0 rJ LOT# <br /> 3UBpiVtStON _(" C� PARCEL ID# A' -0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> dVORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN 0 DEMOLISH <br /> 'INSTALL REPAIR <br /> 3ROPOSED USE SFR [ COMM OTHER <br /> TYPE OF CONSTRUCTION . �-� BLOCK FRAME STEEL u <br /> )ESCRIPTIONOFWORK efI ���/ l � �`'Srvm� �. b <br /> 3UiLDiNG SIZE SO FOOTAGE HEIGHT <br /> ti--r-r-r-i-r-a"R'-r-a-s-t�r-r-r'w"r-1 I I a^r"t-r'it-n-re-rrw-r r-ra-m-m�r�"i-'-r'r�rrm�o-il-r�-Q'�"r�->ro"rsrv'II- <br /> OBUiLDING $ 5 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $, p i AMP SERVICE 0 PROGRESS ENERGY 0 . W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL ``$ b I QC) J VALUATION OF MECHANICAL INSTALLATION <br /> =GAS d ROOFING SPECIALTY OTHER <br /> INISHED FLOOR ELEVATIONS FTI3.,5-b— FLOOD ZONE AREA =YES NO <br /> --I-��--1-!F-+ 1-1--1-1-:-,3-P-1••. . . isles-1-�-=�^�'1-��-1--�--1-➢-.5-. <br /> 3UiLDER r �-yea,! __. COMPANY a -�0A-A_ej""`_ a- ),c <br /> >IGNATURE REGISTERED Y/ N FEE CURREN Y J N <br /> Address v� /��cco.r+'7 e- <br /> License# <br /> cLECTRiC1Ajd f � .-,i .� COMPANY -�- I G % <br /> ,IGNATURE REGISTERED Y/ N FEE CURREK Y J N <br /> Address License# F_c c ' <br /> 'LUMBER a'.� COMPANY <br /> i1GNATURE _ - <br /> r� REGISTERED Y J N FEE CURREN Y/N <br /> Address '� r�r m�� w �s �a', Jam= License# {a re 0 <br /> t1ECHANiCAL i. Af <br /> �,� P �- � -. COMPANY fff < < a <br /> ,IGNATURE "tom'" - REGISTERED Y�f/ N FEE CURREN Y/N Address "��� ,'.. License# 9t,r <br /> )THER COMPANY <br /> ;IGNATURE ~T� REGISTERED Y/ N FEE CURREN Y/N <br /> Address s' wz( License# <br /> ➢ ➢ ll" i / 111' i ➢ ➢ iiili � ➢ iIiiIiIIii1111111 'Iillil111NIIIi ,llllllili ➢ 1111 ➢ 11 <br /> IESIDENTIAL Attach(2)Plot Pla; (2)sets of Building Plans-, (1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten (10)v..irking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit•Fence installed, <br /> Sanitary Facilities F i dumpster;Site Work•Permit for subdivisions/large projects <br /> :OMMERCIAL Attach(2)Complet( 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 all new projects.All commercial requirements must meet compliance <br /> ;IGN PERMIT Attach(2)sets of F 7gineered Plans. <br /> *"**PROPERTY'SI!,gVEY required for all NEW construction, <br /> - I-1-•I i..1-.A.,-'•al-4.-i-S..6-.1--1.-IQI--B-tI.-F-8-1-»i-1--1-$--1--1- '-1.-1-0�4-➢. ..1--6.. -➢- ..$-B..L B�6�- -➢®➢. 13d.�0-!~. <br /> lirections: <br /> Fill out application completely. <br /> Owner�Contractor sign back of ;)plication,notarized <br /> if over$2500,a Notice of Comn ,!ncement is required. (A(C upgrades over$7500) <br /> Agent(for the,contractor)or Pam- of Attorney(for the owner)would be someone with notarized letter from owned authofizir��same y4 �r :'r y <br /> 1VER THE COUNTER PERMITTING (copy of contract required) <br /> eroofs•if shingles <br /> g Sewers service Upgrades A/C Fences (Plot/Survey/Footage) �I -• ,�•�•:'-:� _;: �'� ,•_ .� �. <br /> i'E •. i:i art•`�;:,pp <br /> Driveways-Not over Counter if ots public roadways..heeds ROW <br />