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813 - 780-0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Bukting Department 8731 <br /> Date ttaceived 1' 7- 2-0 i 9 1 Phone Contact for Permitting y D7 4 - I �c 1 !��p <br /> Owner's Name Nit.. • R... 1 I5 LJ. C.- 1 Owner Phone Number I $13' t �Q nU 9 _� X <br /> Owner's Address I t K g st� gto 1 Owner Phone Number 1 13� 51 (Q � <br /> � <br /> `'� Fee Simple Titleholder Name K A I Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> dr� <br /> JOB ADDRESS , RN9 t.71 Q. ,.A 1 +, n,_ J( r tIlS � j � <br /> SUBDNISION N\& tC DaAcS PARCELIO# L1 ip 'n' 7� ✓V -VIJJLJ ]' 0 i 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED F3 NEW CONSTR — ADD /ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE rr SFR r COMM = OTHER <br /> TYPE OF CONSTRUCTION I—! BLOCK [] FRAME Q STEEL 1 OTHER (Pjird! 'all <br /> DESCRIPTION OF WORK . S e * p p a r V _ „ r ■Y e i Crc lalrEmr r ) rigp Chat `t, <br /> BUILDING SEE 1 1a2 X . 7...-13 1 SO FOOTAGE I y HEIGHT I I <br /> vt <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION W 2,t"I OD . W <br /> Elm:* r- � <br /> ^gam ELECTRICAL III AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> K <br /> PLUMBING limmum <br /> •sue <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> = GAS [ ROOFING n SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ITir <br /> . / / may,, 1 . .. <br /> BUILDER / �/ I fy/� _ COMPANY I C.t.. �co t V� SIC • <br /> SIGNATURE -� i� ` REGISTERED I ('I/ N I FEE CURRENT <br /> f ` � ( ICYa'N I� <br /> Address P4( n ` 'NW (Q SI r d Ph re_ ,I 1� <br /> n∎( fL � ,,, uoense# I tit • 100t'c.. I <br /> ELECTRICIAN ! /, _ � / � - � 1 D _ CO MPANY ia{ C .. <br /> SIGNATURE � REGISTERED I ra N I FEE CURRENT <br /> I (pi N ( <br /> Address ■�; - J /��Al IL ' S • i . I II` . F u. # l • Ob12910 R PLUMBERE ” [i- ....._, COMPANY I �1� b 4-1 S vc . <br /> /� (- REGISTERED L� <br /> Address I 1,3W 43rd A.le_ JexvVoT t � 4U53 License# I tik'bCtO21lc <br /> MECHANICAL Ea COMPANY I RlG <br /> SIGNATURE <br /> REGISTERED I iv N l <br /> FEE CURRENT I MI N I <br /> 7 s # i <br /> Address # ! 4, . License # 1 CPC-OLIN q$ 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y 1 N I FEE CURRENT I Y 1 N I <br /> Address i I License # I I <br /> { <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Perrot for new construction. <br /> Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stomnvater Plans w/ Sit Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work Permit for slddivisiorsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Punks plus a Life Safety Page; (1) set of Energy Fonns. R-0-W Permit for new construction. <br /> Minimum ten 10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Slit Fence installed, <br /> Sanitary Fa 8 1 dunpeter. Site Work Permit for all new projects. AI commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructiwl. <br /> Directions: <br /> Fill out application completely. . <br /> Owner & Contractor sign back of application, notarized <br /> I 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 />