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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department qt) <br /> Date Received j2,-- g--` Phone Contact for Permitting a/ 3 ' I -- / L • <br /> 111111111111111 - Q - <br /> Owner's Name ( -o2 rr New, 2t Poo) P5 Owner Phone Number - 7.&9- 1 () (0 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address , <br /> JOB ADDRESS 93/9 'tS' y cY 1 ► J. . k LOT # 3 f c <br /> SUBDIVISION W 1-'QI r'3 (j Zr"lr PARCEL ID# 9i ^ (9 S 2( J dea - Q " `5/ 90 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE a] SFR 1 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL OTHER rims L i'',''i1' <br /> DESCRIPTION OF WORK en C)\); )-P_ hciw , 1 f ork i h. ---\ nn <br /> J X L/ c j SQ FOOTAGE I , ' <br /> BUILDING SIZE � / c?� �° HEIGHT <br /> I I BUILDING $ C VALUATION OF TOTAL CONSTRUCTION <br /> J, C i , C) <br /> I I ELECTRICAL $ ` AMP SERVICE S LC,, 1.. PROGRESS ENERGY I 1 W.R.E.C. <br /> i l <br /> I I PLUMBING $ )) C'C C) <br /> I I MECHANICAL $ c - C � J VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ENO <br /> BUILDER L ! . COMPANY - 2 --L0 <br /> SIGNATURE t. L REGISTERED Y / N 1 FEE CURRENT 1 Y / N <br /> Address J" 6''.._c3 ' oZ ({-' 1 . ' /449{1 1 it � Li License # 1-t+ C x C /9(4 <br /> ELECTRICIAN ' COMPANY I ,-"f (' Y) (L_ 1 c@jt'- f. 1 Q. <br /> SIGNATURE ' t.[ \ PY REGISTERED Y / N I FEE CURRENT I Y / N <br /> Address b oil f 1 l j -2 r ! j ( (kj , Z IS . S3 J Ll 0 License # c 5 <br /> PLUMBER ! COMPANY r V u l /..-ill <br /> S IGNATURE t ■ ( \\Q.__ REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address vvvv E; :;1 - f'_i ; ': JLIr e. License # ._f-- f/ - 0(..! e) 7 9 L <br /> MECHANICAL ';' COMPANY < C l 1 r� <br /> SIGNATURE J I/ t;_ k `5 j. REGISTERED I Y/ N 1 FEE CURRENT I Y! N <br /> Address 440 / pie (t, 4 '2445 .=355 License # / Cc 4,/ / L <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # F <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 />