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813 -78P -0020 City of Zephyrhills Permit Application 'I y -Ch' I 1 Fax- 813 - 780 -0021 <br /> Building Department <br /> Date Received - 7 0 / - 0 5-5 <br /> Phone Contact for Permittin a .S � / <br /> Owner's Name /c //4J P y11/ //g r. Owner Phone Number ?/3 - 9a Y- 4 459 <br /> Owner's Address 1 &' /9 & di ' Z l� t I IS I Owner Phone Number I I <br /> Fee Simple Titleholder Name Owner Phone Number I I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c 7 /9 1 4 St. 2 pi H o r‘ s f l LOT # <br /> SUBDIVISION PARCEL ID #I/ /- ,A •,,7/- ce /cs o77c'C -cf 0 s l I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT EJ SIGN n MOVE n DEMOLISH <br /> I INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I I COMM r-i OTHER I I <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME n STEEL n OTHER I <br /> DESCRIPTION OF WORK R, PC 1L)M/del..) ,Remcva:l: Fi /l -'L) l„'fl- Bin(' lc Sk'ir'l L Alga Nc(rx ) <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 1 I <br /> I x I BUILDING $,97/0 az VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY fl W.R.E.0 <br /> ( PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS n ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES I—INO W`It1 AA /1 • <br /> AV !al aide <br /> BUILDER COMPANY c C_/1"R/ /A.7 4 • /,Uaiku Lri 0 /,) <br /> SIGNATURE / 1 / REGISTERED Y / N FEE CURRENT Y / N <br /> Lic ense # G k3 e— 05/33 3 <br /> Address 44/5A lam` K /Ni ► /q�r� a t� I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED L Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I 1 License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 1 License # I <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I I License # I I <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 onslte, 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 Pow.eulaU a elc he�oi urimeuIj t someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTI1 ,� df Oi ty); `- 301Ak.' Q AI -3UGi flit 0,,,`,4%. ` <br /> Reroofs Sewers 4,e0tice;Upprades �C iveways Fe. <br /> vF 1 , j, .' :. .e :3G 4 '3 ;t+ 7 ` x , fi r ' <br />