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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Pq/ <br /> Building Department <br /> Date Received 5 7-09 Phone Contact for Permittin • -- <br /> Owner's Name -7-'a-Coe--/ s /'icy Owner Phone Number <br /> Owner's Address 3 9,5V , as - /C kkd"i ,Ot /k Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,� ' ,� _,/ /� <br /> JOB ADDRESS <br /> 395 ,4 /Vi )(- rid / At/ NC . LOT # / $- <br /> SUBDIVISION A d `f PARCEL ID# 62 c 000d -01O0- 009v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED FL] NEW CONSTR I I ADD /ALT n SIGN n MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM n OTHER I I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME 1 1 STEEL n OTHER 1 I <br /> DESCRIPTION OF WORK room 1� 11d/ C la etiM id Cater A T,LaCi ' cithet -f <br /> doll /ivYrf <br /> BUILDING SIZE 4 X31 SQ FOOTAGE b OG HEIGHT S ' d Ut <br /> BUILDING $ ouo, 06d 60 VALUATION OF TOTAL CONSTRUCTION <br /> EP ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> 90 PLUMBING $ ` ° °' ° s5, ° <br /> 1:.7r - i,„3 - 6•,:::14 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , ., : -2' ; :, <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 'NO <br /> I'' <br /> 0 ` SUS yd.. ��! Tie SUINDT REGISTERED U COMPANY C O Y/ N FEE CURRENT 1 Y/ N 1 <br /> SIGNATURE � i <br /> Address ( /Pi ,Qt'/- XL '''-"' a H. License # // <br /> ELECTRICIAN �(i� r ✓ COMPANY 4/01 4A ciPic cowl', <br /> SIGNATURE r" C� ! `3 REGISTERED Y / N FEE CURRENT Y / N <br /> Address P' D • ' OX / r/ ze b P" y '11 License # <br /> t � / ad er <br /> PLUMBER / ga't-1-4)/11 COMPANY �2 ald le SIGNATURE ` p �-- REGISTERED I Y / N I FEE CURRENT I Y / N <br /> Address 3 k f V Tim 9 4_01 Z- t eil i p(-3,3scar ' ' 1 License # <br /> ��/J� r ,// O n-� .. <br /> do-k `f /rd��/e 6-41. <br /> MECHANICAL <br /> SIGNATURE Lei /lf 4)1'3 REGI STERED I Y/ N ' FEE CURRENT I Y / N 1 <br /> Address c / t /q/ 4-Ik A 12 A a . -Awl License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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) sets of Building Plans; (1) set of Energy Forms. R-0-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 />