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813- 780 -0020 City of Zephyrhills Permit Application y �1 13- 780 -0021 <br /> Building Department �y <br /> Date Received '[) — 2 J'" Phone Contact for Permitting g 9—_ P <br /> Owner's Name Rity arc.y- t hric . �// t r� , "`` .. F h Owner Phone Number <br /> 1 Li Owner's Address 1( '' <br /> Copper r4.tL'ei4 be .4 () e.iic., tt■ Owner Phone Number <br /> Fee Simple Titleholder Name' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS / 3 7lj11:1 G. U kV _ LOT H 75 <br /> SUBDIVISION �9r6r.e1. I4AC t ZOY\ PARCEL MN 3 q -a5 -a i - 0 r7 0 -00000 -D15'0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED —7------ NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR r COMM n OTHER I <br /> TYPE OF CONSTRUCTION r n +� LOCIS. n FRAME n STEEL n OTHER <br /> I � ek.i-Srre.en tir'f1 //�� e <br /> DESCRIPTION OF WORK Ot' f G I pr1C�G{'� ltnclu�clec� <br /> BUILDING SIZE 1 SO FOOTAGE ( &S5 -- HEIGHT <br /> I �1 BUILDING I$38y i . . OS VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL I$ t AMP SERVICE I ✓I ENERGY n W.R.E.0 <br /> n PLUMBING I$ <br /> [ MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> 1—I I GAS n ROOFING I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES [NO <br /> r <br /> BUILDER 1 - ���^ �Ip �p COMPANY N y <br /> SIGNATURE " �� '�1 / W ( O R <br /> J REGISTERED 1 Y/ N FEE CURRENT Y/ N J <br /> Address 19 rris . d4 c W • / 1 r / u , 1133303 License # `i3 ; ?? $a <br /> ELECTRICIAN a 4. J � AN1 /� '` '\ / COMPANY Deb N IYkta(i et._ - Q ,Y� <br /> SIGNATURE I t REGISTERED Y / N 1 FEE E C I <br /> CURRENT }� I Y/ N (I-43 Address 170:40A /537 r l yrkj(15 33J139 1 License# I E14OVd a <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I <br /> 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 1 <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT J Y/ N I <br /> Address 1 License # 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 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 (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />