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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department +4 991 <br /> Date Received 0 j— 6 Phone Contact for Permitting 1451 Sri -- 11 1. <br /> n 1' t <br /> Owner's Name �..EP kid. Mph nN� . LUC_ Owner Phone Number e1a� 7j4)6 a <br /> Owner's Address 3(6 nr) C_A L' , " Owner Phone Number <br /> ^ <br /> Fee Simple Titleholder Name ,`) ) >� \ P Owner Phone Number <br /> Fee Simple Titleholder Address IJ'P <br /> JOB ADDRESS - ; - 7 • 2 ) a a - cal B \ t b e 1 Z n 4 4AA,tis, 1 r)' LOT# <br /> SUBDIVISION PARCEL ID# 3G`a al .0 VW - _ 0 i4" <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT SIGN EiZr MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR COMM OTHER I <br /> TYPE OF CONSTRUCTION I BLOCK [ FRAME L STEEL I ��((,,�,,�� OTHER �y I <br /> DESCRIPTION OF WORK �oit, PN� S eit•) ti� Sftoc a.aT( Rook-. k-. U1 �p V b,tz+ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ <br /> ,•1 ` 4 VALUATION OF TOTAL CONSTRUCTION t a t� <br /> VC ELECTRICAL $ cT '1)-- AMP SERVICE I PROGRESS ENERGY W.R.E.C. <br /> ,t/FF7) ,1/9 <br /> PLUMBING $ c <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/ f' ° -J Um <br /> GAS ROOFING I SPECIALTY OTHER �� ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I YES I INO <br /> .0 <br /> BUILDER O, pis t1) <br /> COMPANY (1 „Sc A NA...1 -06' -k--&-- <br /> SIGNATURE ' , REGISTERED Y / N 1 FEE CURRENT I Y / N <br /> -, rte q)-.3 n l <br /> Address 114 a O k l'L> Clu- t q' • 3 License # <br /> ELECTRICIAN `li � yyTe, — COMPANY �t1�1� � SIGNATUR ''7 REGISTERED I Y / N 1 FEE CURRENT 11 1 Y / N Address r0\`'Z)t�f N CIA) Pp 3 <br /> 1 . License# �� a!J <br /> PLUMBER " � 1 COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N j FEE CURRENT 1 Y / N I <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br /> 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 />