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813-780.ONO City of Zephyrhills Permit Application Fax a13-7eana2l <br /> Building Department <br /> Oate Received Ptmrie Contact for PermiHingr�'r} - — <br /> "C'r•7"r•tr"r•"r•r 'r'r"r 1'7 r`c-rry <br /> owner's Names !( � [ .^� Owner phone Number <br /> Owner's Address 7 'e'. �'J )(' 7 ( U Owner Phone Number <br /> n <br /> Fee Simple Titleholder Name t . ! �- Owner Phnna Number <br /> Fee simple Titleholder Address c4,7G1r�#-A; 64t W17 <br /> JOB ADDRESS T LOT a 1 <br /> SUEOMSION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAR NOTICE) <br /> WORK PROPOSED HEyt cdtdST H 8 ADDlALT r + SIGN C] Q DEMOLISH <br /> Pq lNSTAU REPAIR <br /> PROPOSED USE = SFR COMM [ ] OTHER <br /> TYPE OF CoNsmuanm Q BLOCK r� FRAME STEEL <br /> GF Q <br /> DESCRIPTION OF WORK `Ori•,3/Y�t : !K '_ '•r ,, c - — rife <br /> BUILDING SIZE 1<?f`j Z� SO FOOTAGE t.Z HEIGHT F`f 1 rl <br /> W . . . . . . . . . . . . <br /> =BU1LOkNG � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS �- FLOOD ZONE AREA =YES NO <br /> »3.:.f+:.&S.,?.e.F+."e�S�..E��eo.i�3.2'='r—:=t-.i.c..:.3► i _ ,s:o3+:' <br /> BUILDER COMPANY Venture Construction Company <br /> SIGNATURE l I REGISTERED N I FEE M RRR Y I N <br /> Address 105 N.Faikenburg Rd.Suite A;Tampa,FL 33619 license:: CGCO09286 <br /> ELECTRICIAN 1 . CoMPAmy Joe McDonald Electric <br /> SIGNATURE REGISTERED Y N ' FEE cuRREN YIN <br /> Address 2310 Circuit Way;Brooksville,FL 34B04 �-- Ucense# EC0002723 <br /> PLUMBER COMPANY i .i&S Pltlmb'ino <br /> SIGNATURE REGISTERED rqN FEE CURREr, I Y I N <br /> Address 4021 S.50th St;Tampa,FL 33619. U..#I CFC1429243 <br /> MECHANICAL COMPANY <br /> SIGNATURE REctsreRFDI YIN FIEEECURREn Y!N <br /> Address Ucense# <br /> OTHER COMPANY �empsay Commercial roofing <br /> SIGNATURE r REGISTERED �[Y N FEECURREe YIN <br /> Addross 3615 ttu Btvd-Unit# land FIL 33S11 License# CCC037007 � <br /> 11011011i151111it1ti0 I31111fI1I11Yi11ICtt ➢ ICllltlflllllt # Rltitlltl <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building plans;(1)set of Energy Forms;R-0-W Permit for now 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 subd'svislonsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safely 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 rr<Silt Fence installed, <br /> Sanitary Fatalities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must most compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'PROPERTY SURVEY required for ail NEW construction. <br /> Diredfons: . <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notion of Commencernent is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized Setter`ram owner authorizing same <br /> OYERTHECOUNTERPERMITFING (copy of contract required) <br /> Reroofa if shingles Sewers Service Upgrades A/C Fences(PlollSurvey/Fnotage) <br /> Driveways-Not over Counter if on public roadways..neads ROW <br />