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813 - 780 -0020 City of Zephyrhills Permit Application 44,0( 5 Fax- 813- 780 -0021 <br /> Building Department <br /> 1 • <br /> Date Received -' - Phone Contact for Permittin . • I 0 -- • •' _____ <br /> —Owner's Name ✓ a'M •RA>►AiWp - ze:',,A; ItMCs; . 064T k <br /> wner Phone 064 Number (727) t(,gryA 33 <br /> t 2 3.G Ct bI LC s - f - Dn� 1r s sd. <br /> o' Owner's Address .� �� �'d7 66-wner Phone Number <br /> o <br /> Fee Simple Titleholder Name 'ai C r i'3 >� � ' O ner-P hon�e Number t 2 -r 1 2.53%1 <br /> Fee Simple Titleholder Address J � <br /> JOB ADDRESS 7 .3 , _ `� / & ÷ IO2-____ LOT # <br /> SUBDIVISION PARCEL ID# S j �- .2S`-'21-000450 +5 • R 00 000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT # 1—I SIGN 1 I MOVE n DEMOLISH <br /> INSTALL REPAIR - <br /> PROPOSED USE I I SFR 1 1 COMM 1, [" OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 11 FRAME � STEEL 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK B (r 4 1/t4 QI M -e .. 1 61cA • <br /> BUILDING SIZE SQ FOOTAGE , t. S • 1 HEIGHT <br /> BUILDING $ 2 4 f ex90 VALUATION OF TOTAL CONSTRUCTION <br /> il <br /> F ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 I W.R.E C. <br /> 1 1 PLUMBING $ � J / <br /> (K 61.-- <br /> f- I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1' e /I `C <br /> 1 1 GAS I I ROOFING 1 1 SPECIALTY 11 OTHER 0 N Cw <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES FIN. 4S <br /> v <br /> BUILDER .0„, � • , t COMPANY i 1 ` ' �� <br /> SIGNATURE \ . . 1 REGISTERED Y/ N I FEE CURRENT 1 Y / N 1 <br /> Address 2_1 t 1 CO'.* M O i Je Lqs. , Likigad FL OgR License # c .'SDg2 <br /> ELECTRICIAN COMPANY j/ ,I4'/D /1/ -? )I/ � / <br /> r <br /> SIGNATURE sl Ali a�i ,/AreoL t V..2.... REGISTERED Y / N I FEE CURRENT I Y / N I <br /> Address 1 !! , , License # <br /> PLUMBER S . COMPANY V 0 L(VL /, 'Li n mi a. 1 -L C- <br /> SIGNATURE / CCCC / �.. A REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address ' t b License # CFC fY & -7 2 - 7 <br /> P .' PAECHANICAt e 0 r � ' COMPANY <br /> SIGNATURE ' T''-' v i U' ` � REGISTERED 1 Y/ N j FEE CURRENT I Y/ N 1 <br /> x 4' Address 1 License # I <br /> 441 OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 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 />