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" <br /> 813-780-0020 City of Zephyrhills Permit Application -61) 1Y61 Fax 81 3-780-0021 <br /> Building Department <br /> yV3 <br /> Date Received I Z 0 -2- Phone Contact for Permitting Z C) <br /> .......... .T7"JrrT17rT77_1= .......I........... ......... <br /> Owner's Name C— 1_6&_r%nS 6-P ZgAL ik, LL� Owner Phone Number .39- <br /> Owner's Address Fs-2.2.1 BkVx 3�cne4- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F-5 2-7 1 LOT# <br /> SUBDIVISION PARCEL.ID*1' i%-2_Lo-21-00k0-tLo-100- 0tk0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN Q 0 DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> .F—(4A- <br /> DESCRIPTION OF WORK I %JV\ir\ck�� lat <br /> BUILDING SIZE 1 SO FOOTAGE= HEIGHT <br /> 44444444444 111111111 1 11 1 i I I i ii <br /> - =BUILDING $ <br /> I 01 10.3--75 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA .=YES' NO <br /> I I I I H I,!I I I I-!H4!:HtH 1 1 H 11,1 H'!111+11,11144,14,14+1 H 1,1 1 11 1 <br /> COMPANY 1tA I Lr rvn <br /> SIGNATURE -REGISTERED <br /> Address License# F0_(2C- CnS <br /> .0 13Y, <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED I YJ N FEE CURRFN- L_]L/_N_J <br /> Address Llcense4 <br /> PLUMBER COMPANY <br /> -SIGNATURE REGISTE RED Y 1:N, I 'fiFE,CURREN -YJW' <br /> Address License <br /> MECHANICAL COMPANY. <br /> SIGNATURE REGISTERED Y1N,r- <br /> Address -License <br /> OTHER COMPANY <br /> AGNATURE REGISTERED Y/.N_j FEE CURREf, <br /> Address License-# F_ <br /> 1 1 111 H+1 111+1 1 1111 1i 14fl 111111 k 1111111111111111111 11 I l.Ir l+f 1 12 111111111111111111-1111,11 111 11111111 tHi+ <br /> RESIDENTIAL Attach(2)-Flot-Plans',(2),,sets of;Building Plans;(1)set of,Energy Forms;R-O-W.Permit4or newconstruction, <br /> -.- mum Aeh�( <br /> ,.--- Mini 1o),WqrKI66',d@ys'afti r,submiftaI date. 'ReO6166d,onsite.ConstruCfi6n:PI6ns,-8t6rmwatbr Plans-w/Silt Fence ins-tailed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdMsIoni/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).working,,days after Submittal date;- Requited.onsite,Construction Plans,Stormwater Plans W/Silt Fence installed, <br /> Sanitary Facilities&A dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY-.'SURVEY�requ1red for all NEW construction. <br /> ............... <br /> ... - ------- <br /> Fill out application completely. <br /> Owner&Contractorsignback of application..notarized <br /> If over$2600,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power 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 Sbwers Service-Upgrades A/C Fences(PlottSurvey/Footage) <br /> Drlvewayi-Not over Counter if on public roadways..needs ROW <br />