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813- 780 -0020 City of Zephyrhills Permit Application i" C(631 <br /> Fax-813-780-00 21 <br /> Building Department <br /> Date Received 'O x - 0 Phone Contact for Permitting <br /> 7027 MI - 73 f- <br /> Owner's Name/91/4 66-76-6-?..- GTE Owner Phone Number '7 d 76 ' / W ci <br /> Owner's Address �d C S %1- � 2 /74 / ,- 9J I Owner Phone Number I - I <br /> Fee Simple Titleholder Name <br /> Owner Phone Number I I <br /> Fee Simple Titleholder Addr s , 74 I <br /> / / I LOT # I <br /> JOB ADDRESS I � r -GL. A i.--/23 9 <br /> SUBDIVISION I PARCEL ID# 6.7.--0 - 04/V "'/id dQ -0 Gy / <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED El NEW CONSTR I ADD /ALT SIGN u MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK J A I FRAME n STEEL n OTHER <br /> WORK N.S t 0020c1/,/ ,/ /G -1 �i9rE,A"�/i-Zj% "C-j T C"`7( if 7, <br /> DESCRIPTION OF ,� <br /> / ,4-2.6-- c. <br /> BUILDING SIZE SQ FOOTAGE 5 t7 • 7,5 7 HEIGHT <br /> J BUILDING $ (C) 9 CC) a' VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ Q' ` ..,C AMP SERVICE 1 1 PROGRESS ENERGY El W.R.E.C. <br /> V C fit e- 1 IP' reP <br /> 7 <br /> 1 I PLUMBING $ <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS [I ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES I <br /> /,-• <br /> or <br /> r ► " ' /;47Z- "A //Mc/A/� ria i Bf; / C,/ eao P <br /> BUILDER + �J// rellipl B., COMPANY <br /> SIGNATURE REGISTERED Y N j FEE CURRENT 6,, I Ga 5 License # eJ O'c c) <br /> Address �(�OJ �( ?�?� Sr, � �Gd / � ��7� <br /> ' I,. I/,,r7a�./r, <br /> a. ,-, SiE -V ct V63 ,6,r /,ppl <br /> ELECTRICIAN I l ,' ti - COMPANY ' y � <br /> SIGNATURE - �' �� REGISTERED L! FEE CURRENT a N <br /> 4 <br /> Address /c2j]1 ,/ z .f N 446o 33777 License# �J 0 0 0 006Z-2 I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y1 N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> , <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 - - 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 /> «,halt , <br /> D irections: <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 Attomey (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 />