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813 -780 -0020 City of Zephyrhills Permit Application ,� (( Fax- 813 -780 -0021 <br /> Building Department - •• ` ' . '1 <br /> Date Received • Phone Contact for Permittin! / i/ 3.." 650 __ / F <br /> . <br /> Owner's Name O)! 1 ,5 Lio! � ! ,) - �a ,wner,Phone Number 7 6 0 ? Ll. I 3O7 <br /> Owner's Address 38ST.3 ? 2 eSCe 01 Zef,I r'ii //S Owner'Phone Number <br /> Fee Simple Titleholder Name Z l4 5 tri (("" API.? /11' 1L Pk Owner Phone Number <br /> Fee Simple Titleholder Address 8,s `' jj- ap .f Tf Ze fh �'kt,it S <br /> JOB ADDRESS Z a C l l (i, -C� h I /l : (MID /??Z7 e LOT # <br /> SUBDIVISION PARCEL ID# 02 (- /- 00 Jo -0 /d -av /0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR ADD /ALT I I SIGN n MOVE I 1 DEMOLISH <br /> I INSTALL REPAIR <br /> PROPOSED USE 4 SFR 1 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME I I STEEL I / ) OTHER I <br /> DESCRIPTION OF !t - GZ �pl ac>xt.e. At� M- t � •(tf►��Q, 1`'� 1� (D <br /> BUILDING SIZE O ni SQ FOOT 7 t/ HEIGHT <br /> w ir BUILDING $ <• <br /> , 5 - 62e) �` C e) VALUATION OF TOTAL CONSTRUCTION <br /> L r . <br /> ELECTRICAL $ T ' o b AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> PLUMBING $ 1 0& <br /> JO WI MECHANICAL $ c+d VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING 1 I SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I <br /> BUILDER , er,7 COMPANY 6 N c- L-c [' d/rr f Se..'. f r . <br /> SIGNATURE / REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 9 777 D- 6 /J/ ' e Rci License # 1 A/ 0949 .f 6 <br /> ELECTRICIAN Z (.......u,......71/71.7/ 4f COMPA V R NY N GAN c ildt /�1(L5 N /iV G/ SIGNATURE l <br /> Address �j License # L Z 3 z 0 P 0 e$ <br /> PLUMBER 3 COMPANY ,& E /.r /Xi ai /Z c (^/c/AY e SQL• <br /> SIGNATURE gC47fri._ REGISTERED I Y/ N 1 FEE CURRENT '/ N I <br /> Address 97/6 <br /> / 7,4 g ,q," e f!1P` License # 1717-'0coo g‘411 <br /> MECHANICAL COMPANY 1 (V 6. Ea"( /C 14-0 A r„ j( , <br /> SIGNATURE <br /> 7 REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address I 6 1 License # CA GI f 1 5 D <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N j FEE CURRENT I Y/ N I <br /> Address 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, 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 A/C Fences (Plot/Survey /Footage) • <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />