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8t3- 7&0.0020 City of Zephyrhills Permit Application Fax -013- 760-0021 Building Department Date Received . _ Phone Contact for Permitting ( ) /, 1 Z r r Owner's Name 4 u i p t f /eN /s�yy/ 3. Mo n u l Owner Phone Number p v o &"' T') l/� Owner's Address (#151 60 I � V • . e7-[4 Owner Phone Number l I Fee Simple Titleholder Name 1 1 Owner Phone Number Fee Simple Titleholder Address / j JOB ADDRESS [ ; $5/ 6.4 a l (/A ze j3 a7 7Q 1 LOT & 1 SUBDIVISION - f PARCEL null 03`eVs ar`ANQ- ett) - 6W, 1 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADO1ALT [ J SIGN ' I 1 DEMOLISH _ _,__ INSTALL F REPAIR PROPOSED USE 1____I SFR ® COMM_ 1 1 OTHER 1 I TYPE OF CONSTRUCTION 1 1 BLOCK /�� r't. IGia�'$ FRAME 1 j 1 STEEL n 1 yy� 1 /�� DESCRIPTION OF WORK /$t5 *4 . ei#90gun y � i2,�/4 FAQ i ((( '/ i' �+G7. ! 1 e. BUILDING SIZE SG FOOTAGE 1 1 HEIGHT 1 1 r ° z - Pimr - rT'Prr rT'r - 1 - r r 1 - r - r - rrrYTr rrrr r- rTrl°rrrr °rrr - r°e°I�° ,�BUILDhNG VALUATION OF TOTAL CONSTRUCTION I]GLECTRICAL IS 7 AMP SERVICE n PROGRESS ENERGY Q W.R.E.C. f 'PLUMBING $ 1 ]MECHANICAL r VALUATION OF MECHANICAL INSTALLATION n GAS (-I ROOFING [] SPECIALTY L OTHER FINISHER FLOOR ELEVATIONS I FLOOD ZONE AREA I 1YES NO - t- L- 1- 1- 1- 4- 1- i- R-i-i- 1.4.4. 4- 14- a- Rd- l- 1- 1.t° -1- t- 1.4- t-i -1- 4-4.4.4 -14-4. -4 f 2 i t 1 1-4.-1-11-1-4.4-1-4-4-1.4.-14- 4-. BUILDER a J COMPANY Lii� SIGNATURE +� A � �j.. RFOISTF.REO AO' r a FEE WRFC M / / ' Address 1J(3i 4 , r F'P rLG , 9" ► License # !r7Jj / ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 V/ N 1 FFE. CURRF.A 1 Y f N 1 Address I j License # I PLUMBER COMPANY SIGNATURE REGISTERED 1_ Y f_ N _I Fey cuRRkr. I Y 1 N I Address 1 License # I MECHANICAL COMPANY I SIGNATURE REQ2STEREO 1 Y / N 1 FEE CtAtREP J Y / N 1 Address 1 - - - - -- -- - - - - - - - ____1 License # OTHER I COMPANY SIGNATURE REOSTEREO I Y/ N I FEE wanes 1 Y I Address ( 1 License 11 IIIIt111111111t11111111111111111 1 11 11111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set 01 EnergY Forme; R -O-W Permit for new construction, Minimum ten (10) work,ng days after submittal dale. Required onsite. Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisiions/targe projects COMMERCIAL Attach (3) cornpteto sate of Budding Pions plus a Life Safety Pege; (1) set of Energy Fortin. R-O•W Permit for new construction Minimum tan (10) waking days after submittal date- Required onslte, Constriction Plans, Stornwwater Piers wV Silt Fence installed, Sanitary Facllittes & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. 11 "PROPERTY SURVEY required for all NEW construction. • 1 - 1 s/ - 1...1 --4-111.44.44.44.44.4.444-.1- 6 - 1- t- 4.1 -1- f_ I_ 1 _ L_ I 1-- 1 .- 1 _. 1. .. 1_ I ...1_I4..1 1 - i 1. l.. 1n1 .1- 1-d..f.- 1.44,,1...1_}..1.,1.1.., Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notke of Commencement Is required. (A/C upgrades over $7500) Agent (for the contractor) or Power or Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PlotiSurvey/Footage) Oriveways -Not over Counter if on public roadways-needs ROW