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813-780-0620 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for'Permittin . j 2 s- <br /> Owner's Name Lt'f�P.i '�t�� H irk C df C• Owner Phone Number 8/3 7•3-'SZ S4 <br /> Owner's Address L5/3 is' t",Pe /fit tf Ci f Owner Phone Number <br /> Fee Simple Titleholder Name' Owner Phone Number <br /> Fee Simple Titleholder AddressJs <br /> JOB ADDRESS (D /`1 fh S(,-<-d �G S ELL 3 2,S� Z LOT# <br /> SUBDIVISION � . PARCEL ID# /1-26-Z1-061G0- 02-400- pt <br /> (OBTAINED FROM PROPERTY,TAX NOTICE) ' <br /> WORK PROPOSED _NEW'CONSTR ADD/ALT' �-] SIGN` Q- [� DEMOLISH <br /> INSTALL 8 -. --REPAIR <br /> PROPOSED?USE d SFR. Q `COMM OTHER - <br /> TYPE OF CONSTRUCTION ._ d BLOCK Q' FRAME STEEL Q <br /> DESCRIPTION OF WORK' ✓J el7/ C017 S7`/Lc 1 'C':7 D;-' Sf"1 L Gr yr?!l h'o;,, e' <br /> BUILDINGSIZE" 7:x-J S,c ]/ �°Sq'FOOTAGE '��iD 9 HEIGHT- 7 v <br /> BUILDING $ VALUATION`dr,1rOTAL CONSTRUCTION• <br /> ELECTRICAL $ 7,6 0 0 �. AMP SERVICE �] PROGRESS ENERGY 0 W.R.E.C. <br /> [PLUMBING $ V <br /> (Q sOO <br /> QMECHANICAL $ r 1J66 ' VALUATION OF:MECHANICAL INSTALLATION <br /> [ GAS ROOFING SPECIALTY, OTHER ,/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. AD C� <br /> BUILDER •- COM0i4NY= � ���rf"/�G� /hv1J��CrI f t j✓I c <br /> SIGNATURE - REGISTERED / N FEE CURREN Y 1 N <br /> Address 135 /�/ l L/ ' I t�Pe-f Dade License'# 'Ck /332 /N$ <br /> El�c fr�z ELECTRICIAN c. COMPANYC�vi -�CLa �• <br /> SIGNATURE -' REGISTERED Y/ N CURRF '" - Y/N <br /> ,Address <br /> u License <br /> !I ��G r I/J 3S y '# DG� J``� > <br /> PLUMBER-` COMPANY•••. ��/.� ;,L : jtl . <br /> SIGNATURE" D`-' REGISTERED:. Y/,.N•, •-•FEE CURREN-• U., Y/N <br /> Address S1 d� 7 Z 411ri S Y License,# 'y Z :S G•t -Z :' �. <br /> MECHANICAL ,� . ', . COMPANY .R��-.�-.��o /1�Y L p✓� �-� C <br /> ,: , <br /> SIGNATURE REGISTERED, Y./ N. : FE CURRER:_ Y./,N <br /> /2 License#" C R Y Address' �y��... D_. <br /> 4, <br /> OTHER <br /> SIGNATURE,. 'iY r ' REGISTERED`' Y/ N; FEE CURRE� <br /> Address j ! • License#: <br /> .....,,: <br /> RESIDENTIAL,.°Attach"(2)nPlof'_P,lans (2)§ets_of 9uildingl'Pian' (1)•set of,.'Ehi*,,Eortns;'rF2`O-lNrPermlt far new;construction, <br /> Minimum;ten(10)working;days;atter„subinittaliiate.r Required onslte;Construction Plans,'Stormwater'Pians w/Sift Fence Installed, <br /> Sanitary Fac(Itfles.&;1 ciumpste_r,Slte Warlc:Permit forsotidlvlslonsAarge:pro]ects, <br /> COMMERCIAL Attach(3)co"mplete sets bf Building Plans iilus a Life SafetyPage;'0)set of Energy Fomrs.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onslte,Construction Plans,Stomtwater Plans w/Silt Fence Installed, <br /> Sanitary.Fact ities&1 dumpster.Site Work Permit for all new:pro]ects:All commercial requirements.must meet compliance <br /> SIGN PERMIT Rttach'(2)sets of Engineered P:,lan's.;=z:: . . <br /> "PROPERTY SURVEY required,for all NEW constutction.. <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. (AfC upgrades over$7500) <br /> Agent(for the cantraator)"or Power of Attoihiiy(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER,PERMITTING •• -• (Front of-Applicatlan Only)- <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public road ways:.needs ROW <br />