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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department d 9 11 <br /> Date Received 1-6-0 Phone Contact for Permitting p / , / -- <br /> Owner's Name f cam( s 1 /4 (", 2C_ CJ _c ,[h Owner Phone Number `i &$ ;Sic 4 <br /> `f ' • .r 1 Us, F� • <br /> Owner's Address -- Xe •_ - _, I �' ■ - C ( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address Cna/y <br /> JOB ADDRESS & 7(OI ., ti /p 1 PIce LOT # 3a <br /> SUBDIVISION (9- HOC) PARCEL ID# • g ( 9 (" 01$n - l J ) '59 d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 1 MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM ( I OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL OTHER gh 4 a_' , <br /> DESCRIPTION OF WORK N7t \ e � j s\--F� \\rk -y--i, C' ""Y\-_, <br /> BUILDING SIZE 3 jC Li 3 SQ FOOTAGE ! ` q 4 HEIGHT <br /> I � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 3C) to Et PROGRESS ENERGY I 1 W.R.E.C. <br /> , <br /> I I PLUMBING $ <br /> lit(' - )0 <br /> I ( MECHANICAL $ -1 GG VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES VJNO <br /> BUILDER � J^ 6Th <br /> r, € , <br /> SIGNATURE " ,- 1 C_o��. REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> • <br /> Address �l () 7 1r ,.jA)(' it" F(`1 , " 7p VhU I i ib, r , J, 1 Q6 License # I +rf cC. CX. - fg-i <br /> ELECTRICIAN 1' � COMPANY IC a i Q %C� JC <br /> (' <br /> SIGNATURE . XX. �J REGISTERED I Y/ N FEE CURRENT I Y / N 1 <br /> Address (L)qC( E 1 c' 61 • 1 L-/-P))< - ) - 1= - G 3 - � a L icens e # £ ely,O7 (L., 5 <br /> PLUMBER /V COMPANY .. L LQ <br /> SIGNATURE (✓ REGISTERED � L Y / N 1 FEE CURRENT - I Y / N 1 <br /> Address 3�. S1-p_t f(l rd ?Q owin <br /> Q . c ; � � ) rtL- 5`J✓` q a License # ITN 9 L <br /> MECHANICAL COMPANY •h <br /> SIGNATURE *331)\ REGISTERED / N FEE CURRENT I Y / N <br /> • <br /> Address ' / ! 1 A 1 /(" n &I. .041 11 FL_ 3,- <br /> ;'S 5' 1 License # 6 )-CC `-7 3n L' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />