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JAN/21/2009/WED 08:34 AY. ZEPHYRHILLS BUILDING FAX No. 813 P. 001 ' 813480-0020 City of Zephyrhills Permit Application . • . Fax -813•780•0021 ' Building Department • Date Received Phone Contact for Permitting • •• • t Owner's Name ? . 12 o r 4:7-4..71 4,� T l L g c Owner Phone Number 4:P/ 3 - Z ‘ W ' Owner'5 Address 1 J 7(; ..:5-C ' i-AA/01 J . f •''J-e ri 1( , Owner Phone Number I I . Fee Simple Titleholder Name' Owner Phone Number 1 Fee Simple Titleholder Address ' 1 • JOB ADDRE8s 1 37 3s~ .4./?r ' /t' AL- Z pl l�e Q- F - LOT# 1 .SUBDNISION. • • ICS 7 /4 lw rte, 1 - L0 .) PARCEL ID#I • ' 1. • (OBTAItIRD FROM PROPERTY TAX NOTICE) • WORK PROPOSED • I-1 I NEW CONSTR . • ADD/ALT n SIGN Q MOVE 11=1 11=1 DEMOLISH • • INSTALL • . _ ' REPAIR PROPOSED USE'. .I SFR Q COMM r] OTHER I •1 ' TYPE OF CONSTRUCTION n BLOCK o FRAME ' Q STEEL E OTHER II A ' I • DESCRIPTION OF WORK 'I z At :,.. lam S Tell' frq (/1L L t . ' - S � (C _� J BUILDING SIZE I 1 SQ FOOTAGE' HEIGHT • n BUILDING 1$ • . 1 VALUATION OF TOTAL CONSTRUCTION = ELECTRICAL $ • . 1 AMP SERVICE Q PROGRESS ENERGY • El W.R.E.C. I PLUMBING I$ , MECHANICAL $ / - qr-- VALUATION OF MECHANICAL INSTALLATION ' J GAS . I1 ROOFING I I SPECIALTY n OTHER • • ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA , EYES ' ENO • • ' BUILDER COMPANY I ' • SIGNATURE • • . REGISTERED L YI N I FEE CURRENT I YIN I Address, 1 . , .. I . License # • ELECTRICIAN COMPANY I I . SIGNATURE • . REdISTERED CURRENT I N I Y/ N I FEE CENT ' I Y I ' • • Address' 1 License# 1 ' . PLUMBER COMPANY 1 • ' SIGNATURE • , . • REGISTERED I Y N I • FEE cuRRENY . 1 Y I N 1 . Address' .. • 1 license # 1 • MECHANICAL. /7Z . i ;,( / • ' I COMPANY Is. Ci fre-/C - 0%/4 (( . • SIGNATURE' itr iSTERED I I N I IFEE CURRENT I Y l N I . 'Address ^ T J( V� � . ' AA' .' J ' 11p r ` .License # ' ' e t'f7/ ( ' • OTHER COMPANY l SIGNATURE REGISTERED I• Y I N l FEE CURRENT I Y/ N I Addreae 1 .. I Ucense # l ' RESIDENTIAL • Attach (2) Plot Plana; (2) treteOf Building Plan (1) set of Energy Forms; R -O•W Permit for new construction, , Minimum. ten (10) working days after su bin ital date. Required onsite, Construction Plans, 5tomiweter Plans w/ Silt Fence Installed, Sanitery Facilities , & 1 dum mtlt psler; Site Work Pe for subdivisions/line pre/acts COMMERCIAL • • Attach (3) complete seta of Building Plane plus a Ufa Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum len (10) working days after submittal date. Required onsite, Construction Plans, Stormweter Plans w/ Silt Fence Installed, sanitary Facilities & 1 dumpsler. Site Work Pennil for all flew projects. M commercial requirements must meat compliance ' SIGN PERIIBT Attach (2) seta of Engineered Plans. • • "."PROPERTY SURVEY required for all NEW construction.. • • • . . ' Directional . . . • Flit out application completely. . • Owner & Contractor sign back of application, notarized If over $2500, a NoUce•of Commencement is required. (A/C upgrades over $5000) • . Agent (for the contractor) or Pawer of Attorney (for the owner) would be someone with notarized letter from owner authorizing same • OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers • Service Upgrades NC Fences (PIOT/Survey/Faotsge) • _ .. ' DriyeenGe -Not over oounter If on public roadweys..needs ROW