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813 - 780 -0020 City of Zephyrhills Permit Application 6 i 3 Fax - 813- 780 -0021 <br /> Building Department 14'91 `71 <br /> J(/ <br /> Date Received q 7n 9 D"/ - I <br /> Phone Contact for Permitting <br /> Owner's Name (tI A t 1 .i€._ _ Owner Phone Number 8 7se- / 1 <br /> Owner's Address I661$143 54e1p,S f0. 1 1 <br /> Owner Phone Number <br /> Fee Simple Titleholder Name 11(A. Owner Phone Number <br /> Fee Simple Titleholder Address -- <br /> ` n 11/G <br /> JOB ADDRESS (2 243 �- cehens ra d� <br /> fff Q� • LOT# <br /> SUBDIVISION � Gb, • R t PARCEL ID# ©3 2 . 1 4160' D0 - 03619 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED E NEW CONSTR ADD /ALT n SIGN In MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR n COMM E OTHER _ {fit .SJWjp 1 <br /> TYPE OF CONSTRUCTION n BLOCK I FRAME n ' STEEL n OTHER r <br /> DESCRIPTION OF WORK / ', , S 11 „ ( yt / _ _ _ sr I )\ (, " ' <br /> PCSA t <br /> BYIL�ING SIZE 1 V X 30 SQ FOOTAGE l iSD IGHT <br /> °� ' W $ 38 t OW. <br /> VALUATION OF TOTAL CONSTRUCTION <br /> rte." <br /> I.-- I ELECTRICAL $ ( AMP SERVICE PROGRESS ENERGY n /W.R.E.C. / <br /> n PLUMBING $ / re'lS I / <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1)�s, ( P('� / <br /> n GAS n ROOFING I SPECIALTY n OTHER V { / <br /> FINISHED FLOOR ELEVATIONS FLOO VE AREA I In NO ! - 3 b <br /> BUILDER <br /> &kV; I COMPANY` V [e3 <br /> SIGNATURE REGISTERED Y / ms 7 c <br /> N I FEE CURRENT I Y 1 N I <br /> Address 144 e /V • Mi • AO. /.WIQti ` j License It �� NS 648 <br /> ' I <br /> ELECTRICIAN -�' COMPANY ,(„(y S Li <br /> Ce'i*4MM <br /> SIGNATURE �p 1 • / REGISTERED Y / N FEE CURRENT 1 Y / I <br /> Address I PO. O-1� iw4' * <br /> SI � ri- 334 License# I Er, XL/ I <br /> PLUMBER ,j1/4-741/1 I, Y ,D COMPANY 1VIIe�K�'� <br /> SIGNATURE r _ REGISTERED Y/ N I FEE CURRENT I Y/ N 1 <br /> Address /4L 0 qi N. NebrytM Ave. 7 _ \ $. ii Nikti License# tit-- 145441R' <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License it <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I <br /> I Y/ N I F EE CURRENT 1 Y N <br /> Address 1 License # I <br /> 1 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 /> 1 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 -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 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 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />