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813.780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 It Building Department 1 "7' Date Received 1 Q , 4 Phone Contact run Permatlnp f . I ( o - 1 L 1 s(o a ( I `f <br /> Owners Name' Mr `I' (' 5. CD (4 r te" Owner Phone Number Z( ^ 3r6 " 51 'I <br /> Owners Address 1 3U p 5 1..)3411A; pr}1 ?eit:►►f t - 33 SO Owner Phone Number I I <br /> Fee Simple Titleholder Name' 1 Owner Phone Number' 1 <br /> Fee Simple 'titleholder Address I I <br /> JOB ADDRESS 1 3R'55I() I t ' ` 0('n I �. z2, L- F I 33 5'1 a I LOT # 1 5 c 1 <br /> SUBDIVISION 1 1 PARCEL 1001 C. 2 1 <br /> (OBTAINED FROM PIIOPER TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN O MOVE O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR r1 COMM O OTHER ( 1 <br /> TYPE OF CONSTRUCTION O BLOCK n FRAME O STEEL O OTHER 1 1 <br /> DESCRIPTION OF WORK 1 010 % ? C�n:.12 k'-• f".61442,e• in 10.3 J ficeri,bert . I <br /> BUILDING SIZE 1 wz K c?O 1 SQ FOOTAGE 1 geo I HEIGHT I V 1 <br /> jv BUILDING $ a C3C.(J y / VALUATION OF TOTAL CONSTRUCTION <br /> O ELECTRICAL IS ----' 1 AMP SERVICE ry k__ r— <br /> ' P RED ' ' .�_ Li W.R.E.C. <br /> L II 1t . I �i <br /> [] PLUMBING IS 2 � I f" <br /> �� <br /> MECHANICAL IS I VALUATION OF MECHANICAL INSTALLATION 1N, ^f t <br /> in i <br /> ' t GAS n ROOFING n SPECIALTY OTHER / 1 Q P, <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA OYES ONO a 1 • 1 r I <br /> ` i ce_ _.... invir9l'e' <br /> BUILDER , I i' COMPANY c, ` • <br /> SIGNATUR ./ REG I STERED �, FIE CURRENT WWII <br /> Address 3dy 1a1:4; . hr t t 9E t1 Licenses I I0.5ti'7a0 e,icl L � <br /> ELECTRICIAN 'COMPANY 1 .S G Lest 1 1 I'`I <br /> SIGNATURE a'/' REGISTERED 1Y / N FEE CURRENT I Y / N i �. <br /> Address 3S,2- f (3� CA.l,L t' t... L01-� L $1.1634 License # I LE t 3V t 3c- 7I <br /> PLUMBER ( (/ COMPANY 1 � rA,p P i O t NT 1 �r / <br /> 81 (GNA TUR E n REGISTERED i Y J N 1 r FEE CURRENT c Y/ • N ' / %j' <br /> Address 0S /2e` 5 .771 f-- J36 t z-1 License* ( �r C f � to 6-V 1 �► <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED i Y/ N i FEE CURRENT 1 Y/ N I <br /> Address 1 Z ,..-t 1 License* I I <br /> j, <br /> OTHER /J 7 COMPANY c, r^a4y ,) Q —wk.- t v 1r► <br /> SIGNA ` (' v f ' REGISTERED Y / N + FEE CURRENT i Y / N { 1�T`' <br /> Address I iS t $V' 4.(Jf - Z,�l '�:3 y 1 License# ICCLG��� c4 <br /> ` \ 1 C v <br /> / <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O-W Pemtit for new construction, <br /> Minknum ten (10) working days after submittal date. Required ensile, Construction Plans, Stomlwater Plans w/ Sift Fence installed, <br /> Sanitary Feandes 81 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets 01 Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O-W Pennit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stomuwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All oonrrrerdal 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 bads of application. notarized <br /> If over $2600, a Notice of Commencement is required. (AIC upgrades over $8000) <br /> Agent (for the contractor) or Power of Attorney (for the owner) would be sorneone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (PbUSurvey/Footage) <br /> DrivewaysNot over Counter if on public roadways.needs ROW <br />