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813 - 780 -0020 City of Zephyrhills Permit Application _. �, ,, J Fax -813- 780 -0021 <br /> Building Department �,-1 , " 1 <br /> Date Received (1-20-C1 Phone Contact for Permitting i / 3 " -- //5 <br /> • <br /> Owner's Name 2 e/ 9y,' Cbwig 1Nf' 0, CLC • Owner Phone Number O a -9 DC? 9 <br /> Owner's Address 309 A'/94),4c4 CV , ?hint t FL 336,' Owner Phone Number <br /> Fee Simple Titleholder Name S 1 I * DwNeA Owner Phone Number <br /> Fee Simple Titleholder Address <br /> S4The f15 oL #/' <br /> JOB ADDRESS ?gm 6-igt M4) ZE/ 7 , e /7 4 'US, FL- LOT # <br /> SUBDIVISION PARCEL ID# ,?S - ?S - 6/3 - 0O0 —o/yo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR INA 1 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME I STEEL n OTHER I I <br /> DESCRIPTION OF WORK V NI‘A N AV %.\%.-\..\-. ` \_ �W ALy� e AS <br /> BUILDING SIZE SQ FOOTAGE /,.5 HEIGHT <br /> - I- I BUILDING $ <br /> Z VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE 4Z PROGRESS ENERGY I I W.R.E.0 <br /> 4 f.r t o <br /> I� I PLUMBING $ �f 0 O m r-.. -s14 s f b <br /> I v I MECHANICAL $ b d VALUATION OF MECHANICAL INSTALLATION /‘_)0C_..., <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER c (;)-- ) <br /> FINISHED FLOOR ELEVATIONS F *OD ZONE AREA I 'YES [NO CAA � <br /> I? <br /> 1 <br /> lid! C <br /> BUILDER • t <br /> ` COMPANY \ � & -: %AAA% V\` <br /> SIGNATURE . REGISTERED 1 Y / N I FEE CURRENT I Y / N I <br /> Address 1 416 1 W \\,.� W. AV% S1 � /L !•i License # KA%-- P e le L 3 <br /> ELECTRICIAN c � COMPANY Tr t A e� N <br /> SIGNATURE „ REGISTERED I Y/ N I FEE CURRENT 1 Y/N I <br /> Address Ilk) AIE P.rw I Sc Ana Load Cco` C,(YLI FL. 390 9 License # L. 1 300 "c58 8 I <br /> PLUMBER AS <br /> a T COMPANY Ro`f Sc.(A. let-nc�.vt,Ply l//1 &. liVL�— <br /> SIGNATURE l of REGISTERED I Y N I FEE CURRENT I Y/ I <br /> 3 <br /> Address 9/ ,3 - e/J lame Lvfz- /-/ c .S 9S License # C re02 /.5 —t <br /> MECHANICAL ��'.," ` .. �� c COMPANY / u , <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address IAt1,$,2 iv. Jv E ba /4C A C License # CI+, C 0111 O'7 b <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # n <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 dunpster. 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 (PIot/Survey /Footage) , <br /> Driveways -Not over Counter if on public roadways..needs ROW <br /> w t <br />