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813 -780 -0020 City of Zephyrhills Permit Application �, r ,,� O Fax -813- 780 -0021 <br /> f Building Department � I ( I <br /> Date Received ' � 1 Phone Contact for Permitting ■ i3 <br /> - C7 JV V <br /> minimum - r_c <br /> Owner's Name mCL 00 I n 3ne3 Owner Phone Number S 13 (QJ O5 - 3 ZQ Z <br /> Owner's Address ( 3f, Z E rL .to----:•94;z:---012- Owner Phone Number S) 3$5 2.15q <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (U 133 2 e,Jh 9 2 2 i b'e - b i2.. LOT # l <br /> SUBDIVISION C C a - . tbc PARCEL ID# D3 - Zip - L � <br /> / - 0130 ©" 0/(4 0 <br /> L7 \ � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1X] SFR 1 1 COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK JI FRAME 1 1 STEEL n OTHER ra _ <br /> , airi P] <br /> DESCRIPTION OF WORK t 1k%�V Ok...U."-,CN\ t- OC — 00(Y-Q. <br /> BUILDING SIZE 32: )( b2. SQ FOOTAGE 1 (0(0 HEIGHT I 1 `'f (4-;)ecy <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE ® PROGRESS Y W.R.E.0 <br /> �Q . <br /> I I PLUMBING $ G " "" <br /> L,1 . 0 � � r <br /> 1 MECHANICAL $ V ALUATION OF MECHANICAL INSTALLATION <br /> v I 1 1 I GAS 1 1 ROOFING 1 1 SPECIALTY IT OTHER 0 G � / 0 ) V L`� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES �N• S� U � N Q ' c h <br /> BUILDER COMPANY 9A-St P (' . % <br /> SIGNATURE �a:10'4.3 REGISTERED 1 Y/ N [F EE CURRENT 1 Y/ N 1 <br /> Address Bair P3.1. hfrod, I,fyl License # 1 `O Q � <br /> ELECTRICIAN <br /> /�'"'" if <br /> COMPANY Al l' /G SerueL d-�-�U pl� P (1 <br /> SIGNATURE - REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 k, <br /> Address v� Dd~(.) 8i OOk5 ST(A ,gs �/ 1 License # ( }d Z 7 l ± <br /> PLUMBER / ` (`J \ COMPANY ,( � c' <br /> SIGNATURE <�` � 0 V ( ` REGISTERED � Y/ N j FEE CURRENT 1 Y / N 1 • <br /> Address i ► fY)K;y( itt \ 3 ( License # zt-f <br /> (.2 MECHANICAL 7 e i'l�l C3- d-5i �l� ( PM <br /> SIGNATURE / ' / 7 N REGISTERED 1 Y / N 1 FEE CURRENT Y / N / <br /> Address GU 5-0075 Si «ke-- /AINI9 (7-. License# 1 _ ~, / /"C� i 4) <br /> � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # I 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 /> 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 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />