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II I' +6 .'Zi i a t : /a'JN C' .A:4 ZEPHYRHILLS BUILD INC c A I:0. " : 3 B. 0"i <br /> 813- 7800020 City of Zephyrhills Permit Applicatlon yj' i 9j 0 i5 F r313a8aOO21 <br /> BuildIng Department { <br /> • Pals Hecelved Phone Contact for Permitting - <br /> ttI /� rl <br /> Owner's Name ill / 9►? t1 // / / X1 C S'C- L° Owner Phone Number 713 - J 4 J <br /> • • Owner's Address 4 1. S.. -1 7 /.0 .L- /r .lce) -�i.2- _ S T Owner phone Number I ' <br /> . Fee Simple Titleholder Memel Owner Phone Number I <br /> Fes Simple TfUehoJder Address h r a • - / - • �/ • . . • • <br /> / <br /> JOB ADDRESS 1 / '0 j aitC 4 - ' S t l i jpkvy /�"��'" - -44-- • - LOT Y I • J <br /> SUBDIyISION I . ' .1 PARCEL !DUI I' <br /> • <br /> (OETAJNTce FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ' ` NEW CONSTR • ADD /ALT n ( M <br /> SIGN MOVE r DEMOLISH <br /> H INSTALL REPAIR <br /> PROPOSED USE . 1 '1 SFR I I • COMM I OTHER J I <br /> • TYPE OF CONSTRUCTION I I BLOCK I I FRAME l • n STEEL I 1 Q OTHER I • r I <br /> DESCRIPTION OF WORK Is94 - C-14A /la.- V U ` -2 i � � I / ,r (o' Lam"'' 3 rte' / 45 <br /> BUILDING SIZE 1 - - SQ FOOTAGE _ HEIGHT . 1 <br /> Q BUILDING I$ VALUATION OF TOTAL CONSTRUCTION . <br /> I I ELECTRICAL $ AMP SERVICE r PROGRESS ENERGY In W.R.E.C. <br /> I7 PLUMBING $ 1 <br /> c gi MECHANICAL IS r u ,) 4 °L> - I VALUATION OF MECHANICAL INSTALLATION <br /> GAs I I ROOFING . I--I SPECIALTY Ii OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I^IYES I <br /> BUILDER .. COMPANY I • <br /> SIGNATURE r REGISTERED J Y I N I FEE CURRENT I YIN I } <br /> Address 1 • 1 Ucense # 1 _ 1 <br /> ELECTRICIAN COMPANY <br /> ( <br /> . SIGNATURE tieGlsreRED ' I Y/ N 1 FEE CURRENT I Y/ N I <br /> ' Address . . I License # <br /> .PLUMBER F. - • COMPANY <br /> SIGNATURE • � REGISTERED 1 Y/ N I FEE CURRENT . 1 Y/ N 1 <br /> _ Address I .. Q�' License # 1 ��y/ • <br /> MECHANICAL / � s � COMPANY 5 (. ' " -(dr` ' fMr/9" 'fry^'" - �l 4 j( <br /> - SIGNATURE / `�"t� � / REGISTERED I Y/ N I TEE cuRneNT I Y / N I <br /> 'Address ( ' -j 'J PG'i" sue- ' 11 i .�� CA-121/7/0L`1 F4.. ) License # ' I 1 £r 5 ` <br /> OTHER - COMPANY <br /> . SIGNATURE REGISTERED I Y I N I FEE CURRENT 1 Y/ N 1 • Address - 1 " . License # - <br /> RESIDENTIAL • Altach (2) Plot Plans; (2) sets of Build <br /> uilding ?tans; (1) set of Energy Forms: R-O -W Permit for new construction. <br /> Minimum ten (10) working days alter submittal date. Required onstte, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities .& 1 dumpster; Site Work Pemlt for subdivistots0arge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Ufe Safety Page; (1) sat of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onstte, Construction Plans, Stormwater Plans w/ sat Fence Installed, <br /> Sanitary Facilities A 1 dumpslar. Site Work Penult for all new projects. All commercial requtronients must meet compliance <br /> SIGN PERMTT Attach, (2) sets of Engineered Plans. <br /> - 7'PROPERTY SURVEY required for all NEW oonaliuc0on. - <br /> HffftFl111111IIIIIIi <br /> Directions: <br /> Fill out application completely. , <br /> Owner & Contractor sign back of application, notarized <br /> . If over $2500, a Notice 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 tetter from owner authorizing same <br /> •OVER THE COUI TER PERMITTING (Front Of Application Only) <br /> . . . Reroofs Sewers Service Upgrades AIC Fences (Plot/Survey/Footage) <br /> - Driveways -Not over Counter If on public roadways..needs ROW <br />