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813 - 780 -0020 City of Zephyrhills Permit Application i /,ii f j= , , Fax -813- 780 -0021 <br /> Building Department - W °-) -3 <br /> C <br /> Date Received . .. -1-C '0.---1-1/'0151 Phone Contact for Permitting <br /> 1 <br /> ✓ <br /> Owner's Name / +/T 4 '' fe) 1 Owner Phone Number 6/ - fleO --5 w• <br /> Owner's Address .5 ` .53 I TK 7 2-1/ 4 -45, P Owner Phone Number <br /> Fee Simple Titleholder Name J "/ C Owner Phone Number <br /> Fee Simple Titleholder Address 511 <br /> 1" "16 <br /> JOB ADDRESS 5v l? » 57 HW--i, t'. 33 S e - LOT # <br /> SUBDIVISION PARCEL ID# ll — 2 - Z( -q, /o - Z(5 O O/O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 1llllll4 NEW CONSTR ADD /ALT Fir SIGN n MOVE I 1 DEMOLISH <br /> mi INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME 1 I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK P 0 ' " 4 M r e " 4 / is c-E F /t-r <br /> BUILDING SIZE (Q3 ‘7 SO FOOTAGE 2 2 571ort.- HEIGHT e <br /> BUILDING $ b 0 ! 000 * `22--• VALUATION OF TOTAL CONSTRUCTION 4p 95'0 - <br /> I ----, ELECTRICAL $ AU AMP SERVICE 2-00 F PROGRESS ENERG �� .E.C. <br /> F PLUMBING $ -CPO � fr \ c. Y ::\\ <br /> b s <br /> 1 MECHANICAL $ VALU ATION OF MECHANICAL INSTALLATION <br /> v 9 ~" <br /> ��DOD. °C a I' � ; <br /> I I GAS I /I ROOFING I I SPECIALTY 1 1 OTHER ( ! - i , � J <br /> �� - /. Ir e <br /> FINISHED FLOOR ELE FLOOD ZONE AREA 1 IYES ON ZI <br /> BUILDER COMPANY Ph arr) k yj�/{I(( /A/c <br /> SIGNATURE �� REGISTERED I .I/ N I FEE CURRENT 1 Ca N I <br /> Address License # C GC- 0603/ 6h <br /> ELECTRICIAN t � COMPANY -r, - 4 ' rr E/e.C�" /C._ t � � SIGNATURE - <br /> `j REGISTERED I Y/ N J FEE CURRENT I Y/ N I <br /> f i <br /> Address r T ,Q I, )o 'yJ S 2-(m License # /3 DO /�4" <br /> PLUMBER ' � Q COMPANY - 0 �CI\S t,.1vk ``\(� r'(l ,,_\ 'C' ) <br /> 4 , SIGNATURE .4 "�" '� J . - /�� 0 y REGISTERED I (Y) NI I FEE CURRENT (V"-/ N I <br /> Address -'° (130 ?3 24414y I t\ \5,a 3 ci License# CR.14 5(...o Da <br /> MECHANICAL n COMPANY / 4 "4. /L'Gf Sei u,ce_ ln-C- <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/ N I <br /> Address (R) x I, 1. Z 0 Zu 04Y2hI W, 41. 33 C�J(, m/ <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # F <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 />