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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department AI <br /> ate Received / L 4 fro Phone Contact for Permitting �� 1 5� <br /> oto <br /> Le. �• F ©�� G� O w ner Phone Number l t <br /> Owner's Name .y <br /> Owner's Address G' o ( c 1 Owner Phone Number <br /> Fee Simple Titleholder Name 0 " 4-- v ' ff) 9'"Z' f Owner Phone Number <br /> Fee Simple Titleholder Address t� 10t h S4/240) 7 J Zr O l gg j S Fi 3354/ <br /> JOB ADDRESS Cot OO "1 R N(�" 5 - rR - t hUi a-k r 1 IS 335 $ t LOT # 16 <br /> SUBDIVISION Pry 6 - h.5 :. -t' PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR I I ADD /ALT I I SIGN 1 I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 I COMM I r� OTHER 1 (r 9 crm-E <br /> TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME I I STEEL n OTHER I I <br /> DESCRIPTION OF WORK dv4� IL/ 76 U Z u '- 116-&-t _ 4 f l <br /> BUILDING SIZE I -1 oX SQ FOOTAGE b 0 ' HEIGHT <br /> I 1 BUILDING $ 53 (9 00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> r -,r- PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO <br /> BUILDER ��Q COMPANY WO /6/44-GA- <br /> "' U '( J04,6---- 'h -GA- <br /> "' SIGNATURE IV, i ( REGISTERED � Y/ N I FEE CURRENT 1 Y/ N <br /> Address I License # <br /> ELECTRI IAN f ,„ COMPAN' 1,16-0, ,,..e. d 4.4,-,-- SIGNAT E /"emu C V i cJiL�^ ' REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address (00 f'Ean.1tkktt e t z ,k U�►.� t t5 'El License # <br /> PLUMBFR �� COM NNY Mr 4�uc.. a�1-4- <br /> SIGIURE D�y�e_. J, U� REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address 10 let 1 t il-'et 544.6:t Ztev 1 4 9 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> of <br /> OTHER / COMPANY 6 �'' b+C' - r(�. s e i}R�' ?fL+ °F);-Z <br /> ` REGISTERED Y/ N <br /> SIGNATURE - f ,` y� . • - ° ` ,, � , �;; i -. I I FEE CURRENT I Y/ N I <br /> �� <br /> Addre s i`� , 6 0.)k 1,216 Z pk I RY0i1.5 f% ' 3353 aj I License # RR'C 13 <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 />