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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> . Building Department Date Received (2-15-01 � ly9 /j 1 <br /> (' // '/ <br /> 1 �� P hone Contact for Permitting �/� Q - 1 /(/l0 <br /> w t Q <br /> Owner's Name f 4/1,a r Ahei rew gt ip 6767. 5 II-e- / Owner Phone Number gi3 - 7 0 0l "16le <br /> �' <br /> Owner's Address I y .5 RR/S,�i� /DL £... Z fT iils Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 371015 Ctir Gti LtetA t S 1 LOT # 3a 4 <br /> SUBDIVISION (l At NC('1 r O r PARCEL ID# 1 -aS-at - o i$0 - o coop - 3als o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED IKI NEW CONSTR I ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM n OTHER [ NIZI,`rM <br /> TYPE OF CONSTRUCTION n BLOCK In FRAME n STEEL Q OTHER 1 <br /> 1 lei~ D <br /> DESCRIPTION OF WORK 9 cC} RCLAse rr <br /> E y:Roc_t <br /> m tp (.. llAz & nereft_ <br /> BUILDING SIZE I SO FOOTAGE I 5340 HEIGHT I <br /> 1 $c/ 973 • yS VALUATION OF TOTAL CONSTRUCTION <br /> / ELECTRICAL $ AMP SERVICE 1 PROGRESS ENERGY Q W.R.E.C. <br /> n- PLUMBING $ <br /> Q MECHANICAL $ I VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING n SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA nYES QNO • <br /> BUILDER �an{'o /n �j �( A j P <br /> SIGNATURE I�-'�^� `f�`o COMPA I I Y N r COILS`CLAP��� <br /> REGISTERED I Y/ N I FEE CURRENT1 Y/ N I <br /> Address Voasn)orr;sW.S J z -f1 /!s 1 License # / 16940 <br /> ELECTRICIAN ////////� - "r , COMPANY 1 1 r M �OY�� IN Et G ef je....... ;5k/lic <br /> SIGNATURE / ./ REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> I <br /> Address r o BOGS 37 z--0,11_, 1 License # I e 2 o0o a 4 1 3 I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N <br /> Address I 1 <br /> 1 License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address 1 I License # I 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I <br /> 1 License # I I <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 subdivisionsAarge 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 8 Contractor sign back of application, notarized <br /> H over 82500, a Notice of Commencement is required. (A/C upgrades over 85000) <br /> " Agent (for the contractor) or Power of Attomey (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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter 'I1 on public roadways..needs ROW <br />