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v)1 <br /> 813- 780.OG20 City of Zephyrhills Permit Application �{:iy' t Fax -813- 780 -0021 <br /> Building Department 1 It <br /> 61 6 s� 2 7s S'' <br /> 'Date Received � � �.� ' • � phone Contact for Permitting -- <br /> Owner's Name Mi t{ALt ', T • Ltd a VCA+ , r , ► B P Owner Phone Number <br /> Owner's Address 1 0 � W6 ; S L ( ` l r i , �� • �t0( (pw r c one N Number <br /> Fee Simple Titleholder Name 4414 Owner Phone Number <br /> Fee Simple Titleholder Address 4 <br /> JOB ADDRESS 33 1 R e L ve / Z e ch � r O s � 00'1 .3 .3 " -- LOT# <br /> SUBDIVISION ak 1� PARCEL ID#I 02- Z6 Z� ' 0 0©t300 01 00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED IZI NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I 1 COMM 1 1 OTHEP. I fly hex 1 <br /> TYPE OF CONSTRUCTION I BLOCK ` {y�[ I I FRAME I I STEEL I I OTHER I I <br /> 4./ <br /> DESCRIPTION OF WORK U- `( /'. A11 ¢ 9 1 Y L{ `g t <br /> BUILDING SIZE L' K X Z SO FOOTAGE rJ37 X2 HEIGHT / 7 S ' <br /> BUILDING $ 1 0 r / 35 VALUATI OF TOTAL CONSTRUCTI ' -) <br /> I 1 ELECTRICAL $ l lJ v J J AMP SERVICE ) PROGRESS ENERGY I I W.R.E.C. <br /> 1 I PLUMBING $ <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `� / " <br /> S PECIALTY I 1 OTHER U " <br /> 3 rf A° P ft (• ��rr -- <br /> I GAS 1 1 ROOFING I 1 � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 1YES 1 1N0 L % ∎ Da' -rt �QI po- so <br /> S <br /> BUILDER NATURE PlirOf — �51 � �l COMPANY ' ERED � NI E L SNT i�"n J -r'r c.. <br /> f /� tat) L .'' � R D I FEE CURRENT Y / N �^� <br /> Address , J7 0 l. - S ° � 17�• t at) 1'G` to Y" v "11 R 3 Z- L�Icense # r C• 1:7C to J 7 �S -[ 3 <br /> / T � J _ JJ COMPANY BYVG.f' �GU(� G 1f � C , I <br /> SIGNATURE '1 Y1�1 2 air REGISTERED Y / N 1 FEE CURRENT N <br /> SIGNATURE c "it"- � �` 1 <br /> Address Lie) R k. G. \ ,a 4O! O 9 '- 3 2 R License # / _ EP- ©�� ` <br /> PLUMBER <br /> �_. ,.,-. •` , • .......__..- -. 7.,._._.... COMPANY S @!f,( I (& ` Pi1{Mht i • <br /> SIGNATURE L � K !�P r REGISTERED r N 1 FEE CURRENT Y/ N <br /> Address Pei () i 1' 1 ` e.4-ex �� -� License # C FC, 1 4 / _ <br /> 7K <br /> MECHANICAL G COMPANY 1.1 ' Roe I le tc-e <br /> SIGNATURE /I /7/✓l I�_ G REGISTERED N J FEE CURRENT /'►� �� V 1 Y / N ( V <br /> I !!�� <br /> Address 3 t /� ,, PtwI I l.f.I.KAaml, 33%i ■ License # ��f C ( L n <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 7 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 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 />