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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department #9/ ( <br /> Date Received 5 131 CDR Phone Contact for Permitting 8` 476 -- 880 l <br /> Owner's Name Ct..}tr ar ".J -4..4. nY-• Owner Phone Number 313-'783 - 8 1 L 2. <br /> Owner's Address to 1 3 0 61 /0.., I 1 ?\ V d, Owner Phone Number <br /> Fee Simple Titleholder Name ZLek%i W,,, \ \5 I F L 3354t Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB (p <br /> JOB ADDRESS ?so 6r'at t- t d- 2't.p L` c 4.1 Lkl, FL- 335 2 LOT # <br /> SUBDIVISION PARCEL ID# 0 1 -1-1. -00 10 - 0 0 800 - 00 50 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR p ADD /ALT I 1 SIGN I I MOVE 11 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME 1 1 STEEL 11 OTHER I I <br /> DESCRIPTION OF WORK RlwhwO• A. 4- �tQ \"te. M..% v, Ste 4.c.d. — ?"` <br /> BUILDING SIZE SQ FOOTAGE X/C X P /A1 — tiuxia <br /> I 1 BUILDING $ VALUATION OF TO 2x, di ii <br /> ELECTRICAL $ AMP SERVICE /.R.E.C. <br /> 24 / . p0 6QD j 930 61,21 F1-�� <br /> 1 1 PLUMBING $ /s (O <br /> .z/ _ LtP J2 <br /> I 1 MECHANICAL $ VALUATION OF ME <br /> ND 1� w D/9� �,(� 7---' <br /> I I GAS 1 ROOFING 1 1 SPECIALTY [ 70;ge <br /> (:7 — 8 �O j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE J / O / <br /> I <br /> BUILDER COMPAN <br /> SIGNATURE REGISTERE <br /> Address License # <br /> ELECTRICIAN 1 COMPANY t- g. 1 �ec - 'fie : c --^t - <br /> SIGNATURE II �--.1 �� REGISTERED I Y/ N I FEE CURRE I Y/ N l <br /> Address 190 6 S?is.ty" AA. 6 AS S PL License # It' 1 30 1 2 9 52. <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N I <br /> Address I License # (- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N 1 <br /> Address License # l <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 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 /> Driveways -Not over Counter if on public roadways..needs ROW <br />