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813 - 780 -0020 City of Zephyrhills Permit Appl+ rax= ra t«, -uuz <br /> Building Department \ k b 1 7 �0- Od <br /> Date Received i - Z/'' 09' Phone Contact for Permitting 1 -151 - 4 Z•G(0 <br /> Owner's Name JQ F\) ¶ f')2 pFIJIJ Y B S I m0 A) S Owner Phone Number 813 -16 - Iq 4 "1 <br /> Owner's Address 3101 IQ0 RT t4 Chi TTY RO f\ D Owner Phone Number <br /> Fee Simple Titleholder Name Iv o l v E- Owner Phone Number <br /> Fee Simple Titleholder Address NO O 4) e + i <br /> JOB ADDRESS i02cl 1 1- -- 1 ' ST ZEt p �'�YI�nI�tILLs FL. :3 LOT# �0 f it <br /> SUBDIVISION PARCEL ID #I 1 1 2 6-- 2i - 0010 -10 E100 ~ o I OQ I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE I I DEMOLISH <br /> INSTALL ><" REPAIR <br /> PROPOSED USE Ucl SFR I I COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK Imo] FRAME I I §EL 1 1 OTHER I I <br /> CODE k,,.)►N U) u00R1E C Abltvl:rs ELECTKiCAL <br /> DESCRIPTION OF WORK C3R1f� NOU E T(? i---- <br /> BUILDING SIZE •SQ FOOTAGE GI iz 2. HEIGHT 1 .1 © , <br /> Mil BUILDING $' r — . • � + ^� VALUATION OF TOTAL CONSTRUCTION <br /> I ( ELECTRICAL $ <br /> / T � AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C, <br /> I I PLUMBING $ <br /> C 4 6 <br /> MECHANICAL $ <br /> A VALUATION OF MECHANICAL INSTALLATION Qf / � It/ <br /> I \ l <br /> y t vil YIn <br /> I I GAS 1 1 ROOFING I I SPECIALTY 1 I OTHER f ' �^ <br /> FINISHED FLOOR ELEVATIONS . FLOOD ZONE AREA 1 IYES Q N Z'v <br /> � � ��'}} n� GO i � <br /> G ` COMPANY V Et ROAN C�ptiiSTK 4TIQN .Zr'Jc <br /> SIGNATURE I <br /> BUILDER (-LSL (t . 0 (. \. REGISTERED V �� N FEE CURRENT A Y / N I / <br /> P.O , e0X \ 1 D PLAijT CtTY FL. 3 3 "64 1 License# I e""& 9/4 C <br /> LEC RICIA . 4 ((cL � i. C L / �,�p il ) t COMPANY <br /> IGNATURF/ TTT *** • ► `^ t REGISTERED I Y / N I FEE CURRENT I Y / N 1 <br /> Address 1 License # I <br /> PLUMBER 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 # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I 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 -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 subdivisions /large projects <br /> COMMERCIAL Attach (3) 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 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 />