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813-780 -0020 City of Zephyrhills Permit Application 1 / ?Fax -813- 780 -0021 <br /> M Building Department <br /> Date Received k/ 1 1 / 06 / I Phone Contact for Permitting <br /> . — <br /> I -"/ <br /> Owner's Name t • Q J e- P K r- K€ r <br /> / 1 Owner Phone Number 1 <br /> Owner's Address '7336 p', k+,n? b.. Owner Phone Number <br /> Fee Simple Titleholder Name Pi /P Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7336 t4 r s I, I \- C L_c <br /> LOT# <br /> SUBDIVISION I .` ( P\ V h PARCEL ID# 3 2 5 - L(- 0 / oc) .- 'c'-.. co / v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I COMM n OTHER I <br /> TYPE OF CONSTRUCTION n pp BLOCK I I FRAME n STEEL n OTHER <br /> DESCRIPTION OF WORK T� (&\.&- Z wt„il / 1 ri 6B s -vC f- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ammo <br /> F BUILDING $ 3 5 c? 9 VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY I W.R.E.C. <br /> Ti PLUMBING $ <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> F GAS n ROOFING n SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES InNO <br /> 11 <br /> N .. : : .. <br /> BUILDER / / � � jl COMPANY A /lei p SP. /t L i f <br /> SIGNATURE I s ) REGISTERED I Y / N I FEE CURRENT / II Y / N <br /> Address 2c)';'- I � Kt? 1.5-i y t_r 1°.-0-t rL 334/ License# C- 2 C_ O sf• <br /> ELECTRICIAN - /` COMPANY <br /> SIGNATURE �h REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address <br /> 1 License # <br /> PL U M BER COMPANY <br /> SIGNATURE 4114 REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address <br /> License # <br /> MECHANICAL ,,,, COMPANY <br /> I <br /> S <br /> 7 <br /> IGNATURE �/T GI RED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address <br /> License # <br /> !`/// <br /> OTHER ff /�( <br /> 66 r COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address <br /> 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, Stomrwater Plans w/ Silt Fence installed, <br /> 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, Stomtwater 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />