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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021
<br /> Building Department
<br /> •
<br /> Date Received ■ Phone Contact for Permitting 70 I ' ' -- 4 /-3.4
<br /> 111111111111111
<br /> Owner's Name 2‘,007/4 L /
<br /> ,7).4o4s Z. C.. Owner Phone Number g/3 — 9J3 - 000.4
<br /> Owner's Address 3601 9/1741 64 / 74, Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address / ) / n
<br /> JOB ADDRESS D (�'�J / /!/d - i�P ,5in !� LOT #
<br /> SUBDIVISION PARCEL ID#
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR X ADD /ALT ( 1 SIGN n MOVE I I DEMOLISH
<br /> X INSTALL REPAIR
<br /> PROPOSED USE I I SFR IX' 1 COMM I I OTHER 1 I
<br /> TYPE OF CONSTRUCTION I AD BLOCK 1 I FRAME I 1 1 STEEL n OTHER 1 I
<br /> DESCRIPTION OF WORK /`YQD ,/fW /11 �jals R c cz, A //L , ' cif / Go v.-v-(t41 /-",,,, bt,,/R.v! 'S9 AQw•
<br /> BUILDING SIZE SQ FOOTAGE HEIGHT
<br /> ['1 BUILDING $ 3, 00) o_' VALUATION OF TOTAL CONSTRUCTION
<br /> 1W ELECTRICAL $ 4 10^ «�� AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.0
<br /> I I PLUMBING $
<br /> MECHANICAL $ ?00 CyL VALUATION OF MECHANICAL INSTALLATION
<br /> 1 1 GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES pi NO OA
<br /> BUILDER , 5 S G COMPANY / i / e , I't�/' , iN1 G�.r/SJX[X. / /D/rJ ilw
<br /> SIGNATURE nn j - 4 REGISTERED I Y / N 1 FEE CURRENT I Y/ N I
<br /> Address /` d 6lpry
<br /> X ) , /4R �.e,�yl, �� j4 W f -o License # I �G O P
<br /> / /7
<br /> ELECTRICIAN (COMPANY SAT -/ , ?off elec.. lizi G
<br /> SIGNATURE REGISTERED 1 Y / N _1 FEE CURRENT I Y / N I
<br /> Address /1/0 NE Al( ,2 15/4.40 a 433? G.Ap f 6A41,F /3J 909 License #
<br /> PLUMBER COMPANY
<br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N 1
<br /> Address License # I
<br /> MECHANICAL 1/ COMPANY ICL Ifc/9/1N/G4/
<br /> SIGNATURE [ REGISTERED I Y/ N FEE CURRENT I Y/ N I
<br /> Address 1 744 C�A1vIn,E T'Srk, (/, /..F,rj/Q if 2 Fl ,'7 License #
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED l Y/ N 1 FEE CURRENT I Y/ N I
<br /> Address 1 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 NC Fences (Plot/Survey /Footage) • -,
<br /> Driveways -Not over Counter if on public roadways..needs RO
<br /> +r .,.,
<br /> !?,:,. e• pc 4 4011V 3 NTiad ;11 I ' 4 = 4 , .,:.:,,,, 4.,, . , 10,4!;11■110 . 1 ..,,:` _ „..,„?:.*---'`
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