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813 - 780.0020 City of Zephyrhills Permit Application Fax-813-7 0021 /- <br /> j V � Department <br /> ed 9 130 <br /> Data Raeeiv 1 1/— /1 Phw.e Conbet for ParmiMb�p -f Q a - l5s ap I.. <br /> r' <br /> Owner's Hemel & M C . • F 1 %5 L I Owner Phone Number 1 813 •` 1 0 .9 305Z I <br /> owner' Add . ass W '. ,, /� + t: r�t' r' Owner Phone Number 1 8 i 3 • "1S3 • 141S <br /> '� Fee Simple Titleholder Name' NA Owner Phone Number <br /> Fee Simple Titleholder Address ^ <br /> 1 Pilo, JOB ADDRESS (n1-Q ^`' �+�i(AA ' i TcoY\ Zhy r h � � � l ^ , �r $ / LLO � TS I� <br /> SUBDIVISION s *W,.. S PARCEL ID/IZ -4•�• 2.t occ LV - co <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Fa NEW CONSTR H ADD/ALT [] SIGN = MOVE = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR 1 1 COMM n OTHER I I 01 <br /> TYPE OF CONSTRUCTION n BLOCK I ] FRAME Q STEEL [� OTHER OREMEEMSESA <br /> _ U <br /> DESCRIPTION OF WORK �* `�"t ' V_ t ,' t ( ✓ ) v l + l _ ,e V . trk <br /> BUILDING SIZE 1 2 ' x t <br /> SO FOOTAGE I � �o 8 HEIGHT I I <br /> E0 BUILDING VALUATION OF TOTAL CONSTRUCTION tD Z 4� 6 b <br /> / ` <br /> [--- ELECTRICAL allilinall. IIS AMP SERVICE 1 ,/( PROGRESS ENERGY ri W.R.E.C. <br /> MA <br /> FT - - PLUMBING WILM, <br /> I ♦4 MECHANICAL �_ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS rI ROOFING I 1 SPECIALTY [ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ �O <br /> BUILDER r// •_ COMPANY <br /> is? (t�7K. t 1W \ C'Crr r rt:.. SIC. <br /> SIGNATURE i— ' I (3 N I FEE CURREt4T grf N <br /> `" Address 1 4 . ( Ns [ . 1 f j r�S I LIMBO # 1 I R • ow:21u 1 "if- <br /> ELECTRICIAN T, ,{ J �7 / 6 I �t C. <br /> SIGNATURE ��r � '•'�d % �.a� rtEG�siF�EO Q COMPANY I N I FEE CURRENT N <br /> Address 139S of s F\11& al if l'ix .S 1 R„) License # I 2- (c t2.cud I <br /> PLUMBER lipr` / COMPANY I Ert )611C.. \ 1 ',If✓ <br /> SIGNATURE REGISTERED I(4 N I FEE CURRENT AID N <br /> Address 1 1 4 1 \ 1 tini , 1 - e n U1S F ir . 4 5 3 License # 1 1 H • 0000Zup I <br /> MECHANICAL o n COMPANY t t <br /> (�„ c, NC. <br /> SIGNATURE _ jI tiu DY <br /> REGnS78tED I l T� N I FEE CURRENT ',t <br /> 1 b t( ji#4 t I <br /> . f Address M . - I e 0 . ' I, t _ I ti License # 'CPC -{ y' <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buid'ig Plans; (1) set of Energy Forms; R-O-W Permt for new construction, <br /> Min i m m ten (10) welting days after submittal date. Required mete, Corsbuction Plans, Stonn w ter Plans w/ SB Fence installed, <br /> Sanitary Fadliti.s & 1 dumpstec Sie Work Pem1i for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fors. R-O-W Pamir for new construction. <br /> Mtnimwn ten (10) waiting days after submittal date. Required orsfte, Construction Plans, Stonmwater Plans w/ Silt Fence installed, <br /> Sanitary s of & 1 dunpater. Sire Work Pori for air m <br /> new projects, AO casrdM must nal meet compliance 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 32500, a Notice of Commencement Is wired. (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 /> ..✓ Retools Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on pubic roadways..needs ROW <br />