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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date 'Received 10'::-' 0' - .c;>'D- '""" Owner's Name 'MAfe. iANt.J e . Url 02.0AI\J 0 Owner'sAddress 151 s'l /O-t!-5/,.I -Z'l-hj'~J r-:/.... Fee Simple Titleholder Namel MCUO \d >1Sl!"2- Own~rPhone Number 813- QQ7-"ZJ oB Owner Phone Number I Owner Phone Number I I I I -z.iTl';I"I~JJ/tIS~ Pi..., ~ 'J5t{7- LOT# I q 11" I PARCEL ID#I 11 - Z6 - ZI - ODI (;) '.1 q s/)o - 009 () I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D Fee Simple Titleholder Address I I 51 stf /10 ~ S-riZ2?/ 1t'~7r Dr 7;:Pllq~"'ill~ JOB ADDRESS I ~ NEW CONSTR D ADD/ALT D D INSTALL D REPAIR PROPOSED USE E" SFR CJ COMM D TYPE OF CONSTRUCTION B"" BLOCK CJ FRAME D DESCRIPTION OF WORK I Ni::IAJ SP~ ~J.rr FI+-,,"" /1 (2JS:IJ8Ne& BUILDING SIZE I '2 fED -z. S k T"i I SQ FOOTAGE I a, B ~ I HEIGHT I rz' - t) .. 11111....11..11...........'...,....111...........1111....11.........111....1111............11....11..111.............11.11........................ ~ BUILDING 1$ \ 09,500. 00 I VALUATION OF TOTAL CONSTRUCTION ~ ELECTRICAL 1$ U 1 AMP SERVICE I 5"'0 CJ PROGRESS ENERGY . l,35"O .IJb ~ PLUMBING 1$ I L-J 3,~ 80. D" ~ MECHANICAL 1$ 4,5'\0. /)() I CJ GAS 0"" ROOFING CJ FINISHED FLOOR ELEVATIONS I I SUBDIVISION WORK PROPOSED DEMOLISH OTHER I STEEL D OTHER I VALUATION OF MECHANICAL INSTALLATION ~cc.. Rf>(0 o W.R.E.C, id IOp-l/f<, SPECIAL TV D FLOOD ZONE AREA OTHER DYES ~ u~t:-I)1~ Address 13B7~'111~ S'I u;.s-'- J -Z 1-11 )k, p(, 33.sr1 01 MECHANICAL I J4 , AU.- /? . .' /1 SIGNATURE ~"'V~ . Address I Z5B.>O&~&," J.c1~ p~, W. G r:L. ';~sl(f I ~~"':TURE I ., I Address I COMPANY REGISTERED 111""11'1'11111""""111""'11"""111111"""1.".".....'II"'...'llf"...."".'I'.".'II"'f"..'"1'1"""'11"1'1'111""1""1"111 Address I~##~ IZS8S0 ~6j~ Pt-. W.e.. f='L- . W COMPANY REGISTERED BUILDER SIGNATURE 335'# Address , ELECTRICIAN SIGNATURE COMPANY REGISTERED i 5 ,-.W: t/ll;""~ ~ N FEE CURRENT N License # I Co Fe.. t 'i"')... $'"60 "l- NO CoN~ftCIJN FEE CURRENT Y. License # I CAc.o Z 13 'S'S-- PLUMBER SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N License # 1111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite. Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 11111I1111111111111111I111111111111I111111I111111111I11111111111111111111111111111111I111111111111I11111111111111111111111111111111111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (PloVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW