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813-780-0020 City of Zephyrhills Permit Application ax-813-780-0021 �9 <br /> Da �' 4 8900 <br /> Date Received �O `Ali Contact Building for ep Perm rtment • 40 7 321 _ 1 H 2.3 <br /> Owners Name Lac 6 c (1 Cc R ....... Phone Number 01 ("PI - 311 <br /> owners Address l p o 13 35 3 °7 b, L w3 5 ✓• I I c r K y Owner Phone Number I 5 i- 7-5 Z O 3 3 <br /> Fee Simple Titleholder Name' ] l (3C(( OA- A I°`"' ' a Owner Phone Number <br /> Fee Simple Titleholder Address 1 H ' t 1 N. D a 1 l ' s P 1 4 , 4 , 1 / iD 4 II k S TX 757 S:( <br /> JOB ADDRESS 17313 6411 131 LOT# <br /> SUBDIVISION PARCEL ID# Pi - r 5 ' v 1 ' 000 - ✓ C <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR I ADD /ALT n SIGN MOVE n DEMOLISH „CM INSTALL REPAIR <br /> PROPOSED USE Q SFR n COMM Q OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL n OTHER I 1(3) <br /> DESCRIPTION OFWORK l 00d dot khr,, S,yoS (Men,' Bur Burl, helm a6lir3( 0 ( lk fl n.t) J eli 9011 5t3As and <br /> BUILDING SIZE x ,11 X 34 !ki SQ FOOTAGE r x' !J .7 I HEIGHT lr rv(ttv►O C S <br /> BUILDING $ �! 1 VALUATION OF TOTAL CONSTRUCTION (✓) H 75 . C0 <br /> n ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> n PLUMBING Is <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING n SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA nYES nNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I ¥ / N <br /> Address SO I License* <br /> ELECTRICAA /gk C e t REGISTERED I �O,CC)C 61(0,-,e SIGNATURE (! REGISTERED Y! N I FEE CURRENT 1 Y/N <br /> Addr j Doling Five, .Skakw( FL ,' Z71 I License# I e 0- 00� <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/N I <br /> Address I License # I <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I <br /> Address I I License* I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/N I <br /> Address I I License # I <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 /> 3:3:3.. ... ii7i33il iiiiiit3iiiiiiii _iiiiiiiiiiiiiiiE ' iiii° ........ ..... .................. ....i iiiiii =C <br /> DlfeCtI011S: <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 />