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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 S �� <br /> Building Department <br /> Date Received `" • ZZ 7L/ Phone Contact for Permitting I a <br /> 'goo v <br /> Owner's Name a 0v - e-Q"s 1 l /� -0' iv Owner Phone Number <br /> Owners Address ' ° I I tit) • l 1 PYl o f 1 �+--` ° t Owner Phone Number <br /> Fee Simple Titleholder Name( In 1 A I Owner Phone Number <br /> Fee Simple Titleholder Address I 1 , 1 P <br /> JOB ADDRESS 1 ($2 ( 4 a9 &Q,1( 13 t d Zoo hY r1.FII 1 1. P4 33,5 LOT# 13 g , <br /> SUBDIVISION 1 L' A -rd.5 PARCELID#I 03— A - of — 0 0 att. 00006 -003o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED - NEW CONSTR ADD /ALT = SIGN IZr MOVE [ DEMOLISH <br /> - INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM [—) O THER I I <br /> TYPE OF CONSTRUCTION 11 BLOCK // [ FRAME [ S TEEL i" tw OTHER I /VIAtct4Mt 51e-d It/1 n' J <br /> DESCRIPTION OF WORK H / 16 r` $ r A c L` K , r - Yc L C. • P ost51cit i 4,1 a r <br /> 7 b r • <br /> ii �4 I <br /> BUILDING SIZE SQ FOOTAGE z <br /> yr7 }e' 1 £4 HEIGHT x / / — 0 1) s <br /> BUILDING $ ..— D 0 0 VALUATION OF TOTAL CONSTRUCTION <br /> • <br /> h( ELECTRICAL $ .-- 0 �0 AMP SERVICE r PROGRESS ENERGY n W.R.E.C. <br /> O PLUMBING $ <br /> IJ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> El GAS I I ROOFING I I SPECIALTY i OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA fl1YES ONO <br /> r <br /> arorr <br /> BUILDER a COMPANY a - n 4-4-12 -n `ti 51 70`14f5'G[f 110 <br /> SIGNATURE ...41 - W ky / /� am( v� f REGISTERED O N FEE CURRENT 1 Y/ N <br /> Address ( 6 b $ 3 I / � Catme .y7-. "0,"(.1 _ 33 License# ( I e3 / 0000003 � <br /> I <br /> ELECTRICIAN Q 4 ,� e / ' 1 MMPANY � 4 ryl.,„T'' �'-141Jr : ` 7 `�- . e.CI'r <br /> SIGNATURE t �/y ✓C - ' REGISTERED / N FEE CURRENT I Y / N <br /> Address 1 1 U f 3 t Cct s ....5-e - ) , 4.3377/ License # I Fs-0000003 <br /> PLUMBER a COMPANY ( <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License* 1 I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I 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 subdivisionsAarge 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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Wort Permit for all new projects. NI 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 /> FM 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 />