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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department 1/ 9t(E -' <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name _:.A 1 • w a ,/ • K i_ ' Owner Phone Number <br /> Owner's Address 2)7 / 4 a &)e u VfY) h Ue , 3 -- ly 1 , � - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address , <br /> JOB ADDRESS ' )it-(-- 1 1 P i ilz,r,dm 4 of . LOT # 30 1 <br /> SUBDIVISION ( Nry-1 I (-c..) zryn s' PARCEL ID# 3y `c 5 _61- 0130 - I .0 Y ) - 76 1 ( J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN 1 I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I- COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME L 1 STEEL [J OTHER <br /> DESCRIPTION OF WORK `C - Li , \1 c51 C_- ( n j- a .( \(,c 4 (( l , <br /> BUILDING SIZE 6 / 0 2 ) 41-/6 SQ FOOTAGE j/ t(,;,C.) HEIGHT <br /> I BUILDING $ / VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE OC) PROGRESS ENERGY 1 ( W.R.E.C. <br /> j l U c_'0 <br /> I i PLUMBING $ <br /> j , °C c <br /> M ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES En NO <br /> �3J <br /> SIGNATURE 1 :90 1 10i. . " ti,,, q ` r L.... RE L Y / N 1 FEE CURRENT 1 Y / N 1 <br /> Address - 1 11_ IS All 1 A f : ,_ • L I ' ,- L � jJ -i`10 Licens # - ( 77 L4 <br /> ELECTRICIAN ( J } � COM r - -- i 3 / C 1 l tiL A I� <br /> SIGNATURE j i _`" ` \ Y REGISTERED l Y/ N I FEE CURRENT I YIN I <br /> Address 3 - 10(L % C_t / /1 r r 1,,,e1 . .4- phl�f'ht J� _ k L License # Unit) 7 <br /> PLUMBER COMPANY BI zic_. <br /> SIGNATURE I rcALTA C6 r REGISTERED I Y/ N FEE CURRENT 1 Y/ N I <br /> Address 3 3k AIWA-- e a 2 e 4 p h y h , 15 17/, ? (-10 License # r ,(:'C y { ) <br /> MECHANICAL • ( <br /> , COMPANY l 1 <br /> SIGNATURE �I�I� ■ / R F Li , / REGISTERED I Y / N � FEE CURRENT I Y / N 1 <br /> L / <br /> Address f 4 : — II Z , C , _ t j ., j L i 3 ' - 1 ' License # C' 17 Vu 9 , >` l L ' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <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 />