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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> • ..t: 4 q6 <br /> Date Received 1 • - 119'09 Phone Contact for Permitting - 102. ' `I - .3,27 <br /> Owner's Name A n n c.. I ' (( C (, I`C. Owner Phone Number <br /> Owner's Address 5 (O 1 1 Sfrej2,4 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5L0 /3 !t A +loo. T LOT # W10 <br /> SUBDIVISION PARCEL ID# 1 1 "L2 t. P — 91-00C-- / `3w -- no I v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR ADULT SIGN ( MOVE n DEMOLISH <br /> INSTALL EPAI <br /> PROPOSED USE 1>k I SFR I 1 COMM I 1 OTHER I <br /> TYPE OF CONSTRUCTION Iv I BLOCK / / I 1 FRAME I I STEEL n OTHER 1 I <br /> DESCRIPTION OF WORK ,eP hob; 1r la foil <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ gei5 I yam (0 VALUATION OF TOTAL CONSTRUCTION <br /> LK ELECTRICAL $ �, r _� , l 0 o AMP SERVICE I ( PROGRESS ENERGY n W.R.E.C. <br /> I 1 PLUMBING $ ILC.� <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f vO <br /> F 1 GAS 1 I ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES nNO <br /> P <br /> Y) '` . v <br /> 9 <br /> BUILDER / /��,7` j/ 4' COMPANY seC • s' iSYrA � <br /> SIGNATURE cl ��/ " Cn / REGISTERED Y / N I FEE CURRENT I Y / N <br /> Address 8530 OreAo CC, `C;+ 1- PtC'he , Ff✓ Scilit5e License # I C'C --LP5J c3, <br /> ELECTRICIAN J ✓' 4/ S , COMPANY . 1�-.G- if c Tt � Soi" 15 <br /> SIGNATURE REGISTERED I Y/ N I FE RRENT I Y/ N I <br /> Address 15 5 Tuwl 1 Troll 1*u A1 - 3Litoli 1 License# ( EROOi 2955 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address (-) License # ' I <br /> OTHER ` COMPANY O e / u t?-00 T i <br /> SIGNATURE REGISTERED I Y/ N .J FEE CURRENT 7 Y/ N I <br /> Address 15°25 £1c1?lie, LAe / .r. rt, Ft 31(42 License # 1 �CC. X53 <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 />