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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> , #5 i 8 <br /> Date Received Phone Contact for Permitting - <br /> IIIIIIIIIIIIIIILLLUF <br /> 1 .nom _ f r Son dint - S-2 1 - 5 ba <br /> , �y� �� r � r � � Owner P hone Number <br /> Owner's Name r C 9�f � ,( � <br /> Owner's Address 601 S r I Cr'2l( "cl Owner Phone Number <br /> Fee Simple Titleholder Name Id CT lC ! O 66 2 L f^ () 32-6 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 -)I I p Neu f M 'Q \ (e . 37 5Y I L # 3 5'4 <br /> SUBDIVISION OW( )4(2rl 2MI PARCEL ID# 3 "95 1- QI gn -oana - 3 5 L -.10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN f I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM ME OTHER I I <br /> TYPE OF CONSTRUCTION � (C BLOCK I I FRAME I-1 STEEL OTHER <br /> /y <br /> DESCRIPTION OF WORK T r It ( ., k\Oine 1 (Oa *-;05C) <br /> BUILDING SIZE ")C SQ FOOTAGE 1 - 3 HEIGHT <br /> I I BUILDING $ 5/ S co , 00 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE PROGRESS ENERGY I I W.R.E.C. <br /> PLUMBING $ 95080 0 <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 I ROOFING I 1 SPECIALTY F OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ENO <br /> BUILDER COMPANY f Brrit. L Le-, SIGNATURE bPktS\Cak___,L,__ REGISTERED Y/ N I FEE CURRENT I Y/ N I <br /> Address , .. �T- rcJ4 .k . .--iiif 335-11 1 License # rtf-OON17914 <br /> ELECTRICIAN \ 1 COMPANY ('�(- - r I� <br /> SIGNATURE <br /> ` �74�J REGISTERED Y / N FEE CURRENT € - Y / N <br /> Address I )4 C Yln� U I ft L2 I ( . "l 3 : J"( OQ License # <br /> PLUMBER o COMPANY (1f t - C (1 <br /> SIGNATURE 5,,,,,a,„ �L� / ^r� 1)'�`.� REGISTERED Y/ N I FEE CURRENT I Y/ N I <br /> Address I 7513 <br /> 5 pi ."l_.1 ad , 24,115 , v 4 0 License # I T'J'arri ) 9 <br /> MECHANICAL 19_ 1?1/4 j aN\ � COMPANY ; i 1, SIGNATURE REGISTERED Y/ N I � FEE CURRENT I Y/ N I <br /> Address `. 2 ,' ,11 f4 ' i '1I '2 1 ( License # <br /> - <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <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 /> 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 $5000) <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 Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />