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a�a-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received 2 �� L�r-�3 <br /> �_7_rT Phone Contact for Pertnittin 7 Z� J'� 2� _ ,;3 2 gj 2 <br /> Owner's Name JD t{l� t c,�N C/�v t Owner Phone Number j �.3�S <br /> Owners Address J��2-I 1 �p� S'�, Z r,� � � s�f�wner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address —� <br /> JOB ADDRESS �D�. I ��� cS"�f, ZE�N R�lILJ' l�{� �3 S�'Z LOT# � <br /> SUBDIVISION � PARCELID# �� � 2�'� Z�'O O► D '-Z1200 '�� �2 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q � DEMOLISIi <br /> INSTALL REPAIR <br /> PROPOSEd USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK t7R�rO�/1J�� R.t�R+'R- Zo //UGG�/ � ,QOc+F'7/Lc(�j�-� �erdFN� �� q/ ` ��., <br /> BUILDINCi SIZE SQ FOOTA(iE 1 39� HEIGHT I 1 � <br /> �t/�BUILDING � -.1 / �� VALUATION OF TOTAL CONSTRUCTION rU� ���I� <br /> U7 <br /> �LECTRICA� $ `, a G� AMP SERVICE /�O Q PROGRESS ENERGY � W.R.E.0 <br /> �O 7 <br /> �PLUMBtNG $ , <br /> C� �, c�-S� ��,.�,��. ,���,��� � �c� <br /> �WIECHANICAL $ � ��� VALUATION OF MECHANICAL INSTALIATION Z� ��✓ �/' � 3 <br /> 2 (����`�;�y�� i <br /> FINISH�ED FLOOR ELEVAT�ONS� ROOFI FLOOD ZONE�, OTHER YES �� � , 'r-���� <br /> � N� I�E�� � � ��/�t� ��� <br /> � � e. ��'„vil/!�►� ,2. <br /> BUILDER � \ <br /> ���, � COMPANY ��plAA� Y��Q(LAr1(y/l� �C$WIGC'� IN�, <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Ad�iness..._, S�3� p2• M-�-. ��NG �. �= Q� -' �='C. 3 3�7 0 3�icense# �e O S6/2 <br /> �� , ���� Y` ,� ``' <br /> LECTRICIAN �(�� r,� ,��r � COMPANY <br /> IGNATURE �G"—`-'� I'�'� �"1`�-� �� REGISTERED Y/ N FEE CURREN Y!N <br />� ' �-�f�"��^L� � <br /> l <br /> Address License# �.__,/f <br /> ' � __ <br /> PLUMBER J L� COMPANY '✓��� e�}�1�1v �. I��'j�,� '�•�,v <br /> / � <br /> 310NA7URE // -v REGI3TERED Y N F E CURREN Y N <br /> Address -- - - --- --° -- <br /> __ _ License# <br /> �iMECHANI AL -��., e �'`I - ( _ , ' ��, ' COMPANIF— -- — <br /> SIGNATURE ���� REGISTERED Y/ N FEE CURREN Y 1 N <br /> �iz���� _ - - <br /> � <br /> — -- -— ---� License# �"" <br /> � z�`�' --- --- _ <br /> OTH R Fi�[/G ,F � � COMPANY <br /> SI(3NAT_ URE � : ' REGISTERED Y/ N FEE CURREN Y/N <br /> d �i/.�.�� <br /> ��Z•.,i,." <br /> Address <br /> License# <br /> 11 1111111111111111111111111111111111111111 11 � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fo�ms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence insta�ed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)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/Silt Fence installed, <br /> Sanitary Facilities 8�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 /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over;7500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />