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813 -780 -0020 City of Zephyrhills Permit Application , <br /> Building Department q0 2 /1 <br /> Date Received , A 0 9 Phone Contact for Permitting -- <br /> Owner's Name 3v_p 1?-,t_ i 14(9-- Owner Phone Number 2t - n:)2).- 5-5.54. <br /> Owner's Address 38 e - . 54 ZcaiilR -tttL& , L' Owner Phone Number <br /> i <br /> Fee Simple Titleholder Namel SPO Owner Phone Number <br /> Fee Simple Titleholder Address ......-^--- <br /> JOB ADDRESS 3'351 C. -n iv, QteyRtatuS I L . LOT # <br /> SUBDIVISION PARCEL ID# 02 -Z4"ZX - Col k-Occoo - ot. 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR pl ADD /ALT I I SIGN I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I COMM I 1 OTHER I I <br /> TYPE OF CONSTRUCTION I><1 BLOCK I I FRAME I 1 STEEL [ OTHER' I <br /> DESCRIPTION OF WORK Fes whit. S Ac k W IK9Z 4 4 I lt-Wk4 -1 }'`V 1) Mme'* t t R <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION it 3, 00o. 00 <br /> I I ELECTRICAL $ ` i ^ AMP SERVICE I'I PROGRESS ENERGY I W.R.E.C. <br /> I I PLUMBING $ IA N <br /> I i MECHANICAL $ n VALUATION OF MECHANICAL INSTALLATION N/A �V <br /> t't 1 <br /> I GAS I I ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES I INO <br /> BUILDER <br /> /�= A \Q., J COMPANY y1�hPstl C.oKS'tR h0(I cF �t.o4LtAA I�t, <br /> efr <br /> SIGNATURE 1) REGISTERED I Y/ N I FEE CURRENT I Y N I <br /> Address Q NyP-' ' a3.S4 License # ' Sc 1 Z5 0 cJ t 4" <br /> ELECTRICIAN N COMPANY RIO* <br /> SIGNATURE REGISTE -,,,.• ` " p v,,iidi FEE CURRENT I Y / N <br /> Address icense # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address 1 License # <br /> MECHANICAL MA COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER RN COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N I <br /> Address I 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 NC Fences (Plot/Survey/Footage) <br /> Drive ysMt�lieep k }a A eds ROW — — — — — <br /> .qa�,. xs2A3T KIA • I31rtAMAMNA ,,.. -..' <br /> •bixy N: swli', -40,1 { 6i�Y' �„� '��� 4.1 .: <br /> Srat . ►,qA ®Uripe3 ueserormac,; ibt ,,: ;f _ Man: VI !o Woe vi ^,u7 rakm ir <br /> SICK AvAAU pS NF " <br /> 88t 1¢ 1'," na :r �,rt •r e �;,~ ntw�inMap� it? +.A V'!51 r 1. -4 ,:.. 0 i.,, ,C ierN 013 ft f101ypotmo3 i <br />