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813 -780 -0020 City of Zephyrhills Permit <br /> • <br /> • <br /> ty h p ui Application Fax-813-780-0021 <br /> .* ei 3 ci I <br /> Building Department <br /> Date Receive <br /> Phone Contact for Permitting , •- <br /> 7 <br /> Owner's Name wa Slriil,s C /, <br /> G l Owner Ph one N umber Q r 3- 35, 7 //03 <br /> Owner's Address V d e ei2Oet 7 Owner Phone Number <br /> Fes Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address .! / / j /f r �/ <br /> JOB ADDRESS 510,8 'O3t �/ 57 ZCjl�c,r,G 3344 2 LOT / /, <br /> SUBDMSION �lify /QL , PARCEL IDS' / 76 0/426 OODOO -04(06 <br /> tOOTM EO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED O NEW CONSTR ADD /ALT = SIGN O MOVE O DEMOLISH <br /> _ INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM O OTHER 1 <br /> TYPE OF CONSTRUCTION n / BLOCK �5 n FRAME O STEEL n OTHER I I <br /> DESCRIPTION OF WORK c2 k ?1 of iv( ( t :ye el./ 4 ,444aeY [/'/ t4�r` r 'al & /'v <br /> BUILDING SIZE SQ FOOTAGE HEIGHT r //� LLU(C I J <br /> n BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> O ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY O W.R.E.0 <br /> n PLUMBING $ <br /> IKI MECHANICAL $ 171// VALUATION OF MECHANICAL INSTALLATION <br /> O GAS O ROOFING n SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES ONO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 I <br /> Address I l 1 <br /> License # <br /> PLUMBER I COMPANY 1 I <br /> SIGNATURE J REGISTERED <br /> Y / N I FEE CURRENT I Y/ N 1 <br /> Address f <br /> License # 1 <br /> ME C HAN ICAL COMPANY ��� / � 7 I <br /> SIGNATURE et-e. 1 ......4.- / v � �9 REGISTERED 1 Y/ N 1 FEE E CUR cuR <br /> RENT I Y/ N <br /> Address ( ID ty w 131/t14 T14-G( - ri G( 3.31 License <br /> canse # <br /> OTHER I COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N <br /> I FEE CURRENT I Y/ N j <br /> Address ( 1 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, Stomlwater Plans w/ Sift Fence installed. <br /> COMMERCIAL Sanitary Faatities & 1 dumpster; Site Work Permit for subdivisionsjarge projects Attach (3) complete sets of Budding Plans plus a Life Safety Page; (1) set of Energy <br /> Minimum ten (10) working days after submittal date. Required onsite, Forms. R-0-W permit for newI n s a . <br /> Sanitary Facilities & 1 ou Construction q Ptans, requirements Plans meet o Fence installed <br /> mpster. Site Work Permit f or ati new projects. AA Commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dtrectlo ns: - . <br /> I <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 />