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813 -780 -0020 City of Zephyrhills Permit Application i f y 7 q Fax -813- 780 -0021 <br /> Building Department ).G <br /> • .3`.) z 4 .1 4 v �; <br /> JI <br /> Date Received Phone Contact for Permitting 8 13 cY �1 1 -- '403 / / <br /> Owner's Name 1 c) 1 A k e 00 LAL( `. C)m rr >-1 Owner Phone Number 0 LI E v LP 3 l 1 <br /> Owner's Address P 9 Bo X (0 0000 L —11)X. Fl 32260 Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number 1 <br /> Fee Simple Titleholder Address ,� <br /> JOB ADDRESS " L. 2 �) { 6 -6_ I 1 t V Zr . PI `/ H 1 LL 5 RL LOT # <br /> SUBDIVISION PARCEL ID# 114. ? 21 JO l 0 01700 O CU q- t 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM I I OTHER c f'va F fl' 1 G-tn <br /> TYPE OF CONSTRUCTION 1 1 BLOCK /� 1 1 FRAME 1 1 STEEL 1 I OTHER I <br /> DESCRIPTION OF WORK ME I A L- 2 E- 1c.1..XX r M A I i1 13 1 d Cr <br /> BUILDING SIZE SQ FOOTAGE 44 00 HEIGHT <br /> I BUILDING $ VALUATION OF TOTAL CONSTRUCTION / 4 °15-0 <br /> e <br /> �1 .. <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 ROOFING I 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOP,fONE AREA ( I YES LINO <br /> BUILDER , ; 'a COMPANY �..Y K. J.._ Ic l <r QDP 1 '' r/l <br /> SIGNATURE _ _ �.,„„A`r REGISTERED 1 Y / N . 1 FEE CURRENT I Y / N 1 <br /> Address 1 p C(4 C -c- t ( t,-)1/Q1' License # ' ' C9...3 '') $ /-{ . <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/ N 1 <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Addres j License # <br /> OTHER / �� COMPANY — PA U. t- SG I-1 CI OE-2 000 1` I K.,6 >G r SIGNATURE ( _ t -'� "" REGISTERED I Y/ N I FEE CURRENT I Y/ N I t �T (_ G., ,.- Address ( G FA t ._1 L V L Z / r 1! 113 fl License # I C C C 0 c- 81-3q <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 />