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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 4 , a 733 <br /> Building Department <br /> ' Date Received' 1 1 ( . . , ' 1 . - - C . ) Phe Contact for Permitting o� 19 R –15�xo ( ... <br /> Owner's Name NI"�• Yf 1 F I i_c_ _ Owner Phone Number <br /> owner's Address lir .,• w . . Owner Phone Number 111 1 ^ - IS 3' 1 <br /> ..'...- Fee Simple Titleholder Name I NA I Owner Phone Number I <br /> Fee Simple Titleholder Address �{ I <br /> JOB ADDRESS I dr T l n Q un. e( ���► ��' Jj\ _ ..�� i((ll�� ` 1� LOT 0 1 It � <br /> SUBDIVISION . .($Y..� PARCEL oi`l . d I - bW <br /> t ' A C .I ;) - lot [ 1 1 � <br /> J G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I ADD/ALT I-1 SIGN Q MOVE Q DEMOLISH <br /> i.�– INSTALL REPAIR <br /> PROPOSED USE I ..4 SFR I COMM El OTHER I <br /> TYPE OF CONSTRUCTION RUCTN Fi BLOCK i j FRAME d d 1 STEEL j :— OTHER IMEMEESEUSERO car , �j , <br /> DESCRIPTION OF WORK , 1 " L . A .,p ��, Merle � 1 C re plar 1 O t eJ .) 1 bte ] <br /> ' ��� <br /> BUILDING SIZE 11 �t % y a l SQ FOOTAGE I . X )` . f HEIGHT <br /> L,1 BUILDING [11111.111-. VALUATION OF TOTAL CONSTRUCTION $ 24.10 ` QC:3 <br /> TX ELECTRICAL <br /> lilliiiiillip AMP SERVICE n PROGRESS ENERGY I7 W.R.E.C. <br /> ift <br /> la aim. <br /> PLUMBING <br /> / i mp <br /> r f.�t MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS n ROOFING rl SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA 1 IVES JO <br /> BUILDER 1GNAT v FEECURRE r_10�1 le NT SI � GNATURE REG COMPANY I STERED 1 Y N I CURRENT 1 y3 N� ' <br /> „' Address *QC Nth ford Nye, ,Ne v w �Li , Fu /� � ' y� �� U 1 oense 8 I I R. 00002.4 I i;\--(2--- <br /> ELECTRICIAN <br /> IGNAT RE COMPANY /'� %� % � C _�G� l. I F <br /> ' �^^'� c RNENT I C <br /> SIGNATURE f� REGISTERED I N FEE cura�Nr � � N 1 <br /> Address I 3 s atis RIIen ed. 2 r htIl s i . Ronne# 12.(2... ob 12.9 to <br /> COMPAN7 'A_ l T UL ' <br /> SIGNATURE e 1`�� <br /> REGISTERED 1 N 1 FEE Y N I <br /> Address i. al NIJ , 3r. ' ', u I r. r __..: u 63n , _ -_ License # 144 2itP <br /> MECHANICAL �l�l�2il (.�n� <br /> COMPANY g NEC, SIGNATURE REGISTERED I N I CURRENT 1/221 <br /> Address 444 1 Allen Kd. �yr h( I l f FL ense M 1 L4t # 04-W04 <br /> OTHER 1 COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 Licence # 1 <br /> RESIDENTIAL Attach (2) pot Plans; (2) sets of Binding Plans; (1) set of Energy Fame; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required male. Combustion Plans. Stormwater Plans w/ Sift Fence installed, <br /> Sanitary Fadi6es & 1 dumpster, Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fomrs. R-O-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite. Construction pans, Stomrwater Plans w/ Sit Fence installed, <br /> Sanitary es & 1 clusier. Srle Work Permit for ail new projects. Al commercial requirements must meat compliance SIGN PERMIT Attach (2) ) sets se clumsier. of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> ■ <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 12500, 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 /> DrNSways -Not over Counter if on pubic roadways..nsads ROW <br />