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813-780-0020 <br /> City of Zephyrhills Permit Application Fax-613-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting - <br /> �`` <br /> rA- 7TRIerN.me <br /> r i S 0 ne Phone Number U Q' a <br /> Owner's Ad /1�L 0`uC. / H WOwner Phone Number <br /> r <br /> Fee Simple Owner Phone Number <br /> Fee Simple Titleholder Address <br /> p , <br /> JOB ADDRESS SRO ��G! G�/� �f• 2e 4.4- /' %^/ C 3��gSYb LOT it a7 J <br /> SUBDIVISION /'U/4PARCEL ID# / 4j'o2 `��0 `""'���"a75 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK �G4hcc/• N/ /J a°L(J/a Li^CT� 4, L <br /> BUILDING SIZE � SQ FOOTAGE U HEIGHT <br /> TP1T1'TP'iTrTrTYTfT�iT'1'•1"'P�/9�PTY'PYT�rPrPTPiTrPI"P"rrT'P'P"r�P9�1'T'�1"1"riTfTl'�� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> mod" <br /> =ELECTRICAL $ q Q©q AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING is <br /> O.,`r,/ <br /> � Cl <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS <br /> SPECIALTY = <br /> = <br /> FINISHED FLOOR ELEVATIONS� ROOFING 0 FLOOD ZONE OTHER <br /> AYES NO <br /> �.-- P .-'.-'. ... . . . .. . . F. ..-rr�.- :_i•-�•-�i•-��.�./. l-;el.t-i-'a�F��l-i-i� <br /> BUILDER COMPANY K/ �r Z"��1 ale <br /> SIGNATURE �-r REGISTERE Y/ N FEE CURREN Y/N <br /> Address w J 'r / /. (,(/ :70 License# <br /> ELECTRICIAN COMPANY lclwl;O., ,nicl —gsm/ !&,,^ <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address k 01. N MIX 53OLI License# <br /> PLUMBER COMPANY G(I1Lev' Qvld PSSfN f e <br /> SIGNATURE (� REGISTERED Y/ N FEE CURREN Y/N � <br /> Address J S`ta �k Dr• /ti'ea 1 S�13�'( License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L)l N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> IIIIIIIIIIIIII111111IIIIIIIIII1111111111111111'IIIIIIIIIIII111111111 <br /> RESIDENTIAL Attach(2)Plat Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dale: 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 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 required for all NEW construction. <br /> direction-•�1-1--I 1.1-1-a-i-f-•f-1-1--1-{-{-f-i--1-1•-1-1--1-1-f-1-{-L-6-[-8-1-F-�4.1-i-1a { 1--i-1-,F.F-i-6-F-1-•1��..1--4-f-{-1-1-t-b•�i- <br /> Dlrections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notadzed <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(far 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 Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if cn public roadways:.needs ROW <br />