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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780.0021 //�� <br /> r Building Department [ D 6 <br /> i f q IS 1 Q 1� <br /> Date Recei I / �.1 ci P hone Contact for Permitting O / O - - / f/4 <br /> Owner's Name [,rar[�,, kri -orr ITDM -- e6 a 1 Owner Phone Number p 13 - 78c; -10 r4 <br /> Owner's Address (7rbr7 //iAe/IaS�,rZr65B�j • ellf � 1 Owner Phone Number <br /> Fee Simple Titleholder Name' I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> • <br /> JOB ADDRESS 7F4? 4V flZ9 / 6 l3uE I LOT # I3' / <br /> SUBDIVISION Vs llonia'I 1 PARCEL IDS! 37 -as a/ -o/Y - ( ° -3 / ?O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR ADD /ALT Q SIGN Q MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFR 7 COMM Q OTHER r • _ a �4 irilLmammosiiii <br /> TYPE OF CONSTRUCTION Q BLOCK ED FRAME Q STEEL Q OTHER 1 I <br /> � 170 ,7tI !Ord 1 <br /> DESCRIPTION OF WORK HP.� Rs isEb SBf re(% QL m COotrcC)' LLY ,l k InCLI rl knp &mad -t t 1 <br /> C. <br /> BUILDING SIZE ( SO FOOTAGE' 700 1 HEIGHT 1 O <br /> /BUILDING 1$ a 3 jI 3p VALUATION OF TOTAL CONSTRUCTION <br /> d ELECTRICAL $ 306 O( 7 AMP SERVICE n PROGRESS ENERGY = W.R.E.C. <br /> Q- PLUMBING $ <br /> ED MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS Q ROOFING f SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS ( I nn FLOOD ZONE AREA F ONO <br /> L!� i <br /> BUILDER ' Aw^ L6 .4 4 .c.... Nk �,r/ COMPANY FE ({�7 <br /> SIG L 't V3." REGISTERED Y / N FEE CURRENNT W i ^? Y / N i <br /> Address /d. I r S s _ ' -4 / / (�\ - License # I l:t� "J 7'c <br /> ELECTRICIAN <br /> jakt-J' { \��I(22) i COMPANY I f 1 t Y Elea. <br /> C. <br /> SIGNATURE '��__ ✓✓ / r REGISTERED I Y/ N FEE CURRENT 1 Y/ N I <br /> Address [b . C J g L1 153? 7'ir Os 1 License* ILA j2 opt a 4 43 <br /> PLUMBER COMPANY <br /> SIGNATURE .. REGISTERED 1 Y/ N 1 FEE CURRENT I YIN I <br /> Address 1 1 Ucense it <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/N I <br /> Address I 1 License # ( <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 I License # 1 <br /> • <br /> RESIDENTIAL Attach (2) Piot 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 subdivlslon$Aarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Ufe 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 dumpeter. 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: t <br /> FiII 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 55000) <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 Non public roadways..needs ROW <br />