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813 - 780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 - 0021 <br /> Building Department J77 � � <br /> Date Received - II • 071 . q 3 � - • O 22 <br /> Phone Contact for Permitting J <br /> :: EEEEEEE.:^ x:. ::: i :ii.::mr. :33r.::r.::,iiiii3 ?i:iim::3::9a 3••.3m3' :... m::p. ..... .... �.....�.:�.._::. .. iii:r.:r.: ::::::::�::::. _....._... ....r.:: : <br /> Owner's Name PPMARI 1�, iN Q 3 Owner Phone Number /'13 —6 q S 1 <br /> Owner's Address 55 4c, $m sT <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 551 t r 0 St" 61 <br /> LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION I � BLLOCK I I FRAME I 1 STEEL I I OTHER I I <br /> DESCRIPTION OF WORK ( IStcillci 1 I o A LDW vO Liadie 13UR,GLatz cttfl <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> €€€[[ Iti€€ €itt =gt €€€lt=tt€€ €€f € €€i€ €€ € €tt€t€€ €€lt€ € €tttgftt ffa€ € € € tftift€€€ <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> JJ ELECTRICAL $ 99 OO AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ t <br /> F MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ( I GAS I 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 'NO <br /> ffiRtagagla ........: .:m : .:a n .... : ,:::::.... :,.• ..a.••• ,... ... . :: ?::::r::::..• .::» :......... ..... i: :::. , ... :r —• •r. o. .... ........... .... ; ::ri mllit €lf€ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address j , (0 License # <br /> ELECTRICIAN .(t) ( � � , � Sl COMPAN YI�INooL€ GUl( ') LLC <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address (2•R C SCODittie 1 Og. i at ∎ f r ' A O ' License # €Ci 3003329 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> € f € i g € :: € i i € € € € n€ €l : : : r : E .::; I.....:: ...... . . :: • :: .....:............. ..... ...... :I ::r; :;:.:•, .. 111 :: 1 ,.... ... 'i .,. ..., ... .. •• €€€ € €€Ei€ • ..... ffIgEN <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 /> : <br /> 1[tc E ¢[ €t ctt ¢t[t[ttft ttC [tttt *** r R 1C V 1t E t Y rreq � uir rM.••• ed for all NEW construction. V![[ ttfc tIIftt ttt[ ttC [ttt[ t[tt![ttttl[t[ttl [ t[Itlt[[t [ t!! <br /> iffM i €€ €€ ittO Mk€€ k[ tt[ HHk€ kLk€€ k[ iF[€ Ntk€!.! k€ t€€ t€ tHt ttk€ tt€ ktl tkt kk[[tk€tttt€€Hfk[f�! €€kklkHtlttk i :: •:•: : P.:::::: : :: :.:: ..:.. :..:. €€[Htfft€ €€€€t€tH[tt €[ikk €ttk ttHt €€€€€€ tttttttttitegINfi[eeee�[t:::: €€ <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 NC Fences (Piot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />