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.�. <br /> s/�,� ,� s�,� �- �-�.�-� <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> , <br /> Date Received i ' Phone Contact for Permitting ��/ � ��/� ��d v <br /> —1T� <br /> Owner's Name ��3CT Owner Phone Number <br /> Owner's Address !�G ��"��CU� �������u �G Owner Phone Number <br /> F �Fiayy�2 c��e.ra�/s .r,'�= y7,_ 73F� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> ��s��'o�. s�: rT�� �I�R,��,9ry o�/. C�,.r�.9 4�� sz� �-��-,oq <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �� ����«� `����f �'/'�'S� °• `�'�'rY� LOT# � <br /> SUBDIVISION PARCEL ID# �� aS��"��30-dOcJUd- O d,�o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR c� � � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL 0 <br /> �ri'�tr� •trl,�rzs �,�,,., t��c�.r✓6.� d�/'.ri.ot c�zJ�7/, va,rvs-'�o <br /> DESCRIPTION OF WORK i �t/ Zt�'. "'"�— <br /> �----�, 9 <br /> BUILDING SIZE �' ��� SQ FOOTAGE �O�� �� HEIGHT <br /> BUILDING $ � C.t�`- ` . � <br /> �t ��Q �. ALUATION OF TOTAL CONSTRUCTION �C • ��� <br /> r <br /> �ELECTRICAL $ ! d� Cp MP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> `� ' _ <br /> �PLUMBING $'�.�� 14�U �� <br /> I <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 2 S.Q�� ���'YL� <br /> OGAS 0 ROOFING � SPECIALTY 0 OTHER �-���t`�-� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> � <br /> BUILDER COM ANY •/J'��%��' a�� �� <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y N <br /> Address ��c�� ��i��2-f/`r � 6 CJ , ,�.��7+� License# �S��O�/CJ y/ <br /> .✓�r �v�,l.�L �' d,2i� /.�.� <br /> ELECTRICIAN CO ANY S/�r!�c (11�' <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y N <br /> Address ��� �/r�L ,1' Gf26a . ,�,�77 License# E-f���U�y� <br /> PLUMBER COMPANY <br /> SIGfVATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> eiisoa � � � � iiii � � � � � i � io � � � � iiiii � i � � � i � � � � � � iii � � � � � � � � � � � � i � � � � � � � <br /> RESIDENTIAL Attach(2)Plot 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 date. 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(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&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 /> I1��� 11 ■ ■ ■ ■ ■ ■ ■ ■ ■ l e ■ Y ■ ■ ■ 9 Y ■ e ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C 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 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />