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813-780-0020 City of Zephyrhills Permit Application Building Department Owner Phone Number 8/3 /18 g '1308 Owner Phone Number I Owner Phone Number 1 Date Received Owner's Name bO/llle/A ~fMIL'f !f:GIOC/UltE -rte u.sr Owner's Address I" 15"'/ Fod KINO- I? D. Z ~ftIo/~~6i R Fee Simple Titleholder Namel Fee Simple Titleholder Address I I (p,;l. 'fo I PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK I B D D LOT # PARCELlD#loY--..:26- ;11- oOlo-tJ9600- 6030 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D JOB ADDRESS frfl L-L.- 13 L-vLJ, SUBDIVISION I I . r . . . . . . . I . I . I I I I . . I I '. . I I . . I I . I . . I . . I I I . . . . I I I . . I I I . . . I I . . I I . . . I I I . . . I . . . . I I . . . I I I . . . . I . . . . I I . . . I . . . .. . . . I I I I I I I . . . . . I . I I I . . I . I I I I I I I I I I I I I I ~ . I . . I . B D D If;e-'>r~u: (j) #&w I sa FOOTAGE I ADD/ALT REPAIR COMM FRAME 59 DEMOLISH WORK PROPOSED D D OTHER STEEL I D OTHER I DESCRIPTION OF WORK WA~ S/6-7t-/ BUILDING SIZE HEIGHT I BUILDING VALUATION OF TOTAL CONSTRUCTION .# ~?(J 0, 0 0 B W 1$ I, G:> 00, 0 0 I 1$ I 0 (). (> c:> I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO """'11"1'1""""""'111"1"""1111'11111'111'"i"IIIII"'nu'I"I"""III""'IIIIII"'IIIIIII""""11"""'1"1"""1111'1""11 BUILDER . . . 1,1 ./ I Jf)t I COMPANY U R '3/6;(,/ S c/UIICc- f.z;",~ / z-"..c . I SIGNATURE .~ ,(./- ~ \{!'" REGISTERED Y IN. . FEE CURRFNT Y I N ELECTRICAL AMP SERVICE PROGRESS ENER,9Y D W.R.E;C. p;,~r I K- _. (j (j 1'1' ytrr:- i>. ;- t cr t'ft~ f!.~(/ VALUATION OF MECHANICAL INSTALLATION D Address License # FEE CURRENT License # Y I N FEE CURRENT License # YI N FEE CURRENT License # Y I N FEE CURRENT License # ELECTRICIAN SIGNATURE Address :J I:'t:. f/fJe-.s~ 1?1J. I I PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE Address I OTHER I SIGNATURE Address I COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 subdivisionsllarge projects 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. Minimum ten (10) working days after submittal date. Required onsitf!, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Pennit 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. 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of appn~9~ If over $2500, a Notice of Comm~..ot IS required. (A1C 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) Q (.lar""'", Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) "JOO "'"'""lC<~ Driveways-Not over Counter if on public roadways..needs ROW . ., ~~ J