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813 - 780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> t 1 0 I 1'6 <br /> Dale Received I 1 Phone C ct for Per mNtln g 1 d 1 C1 - 15.F.up <br /> Owner's Name l nil v-( - rte, t 1 5 L Owner Phone lumber lc: t ?,• - 1k0' . 930Zr 1 <br /> Owna's Acidness � x_.11` " - Z ?° Z t3-iO owner Phone Number T) v2)- l 1 : 1 1 <br /> may, Fee Simple Titleholder Hamel OR 1 Owner Phone Number 1 <br /> Fee Simple Titleholder Address / , , <br /> L �'P <br /> JOB ADDRESS dd ` 1 T I { ky- -1 1 l N c ' F k l_ <br /> ' ` ^ � � V Lars I �I 01 <br /> SUBDIVISION 1► l.-C.� <br /> C- LS PARCEL IDII I( L -,Q4) -0-1 • : l) • ruin • r)(1.--0 <br /> J <br /> (OBTAINED PROP PROPERTY TAX NOTICE) <br /> WORK PROPOSED 1 NEW CONSTR I ADD/ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I y . SFR I I COMM r OTHER <br /> TYPE OF cONSTRUCTION n BLOCK El FRAME Q STEEL L OTHER <br /> DESCRIPTION OF WORK k v' pc r Y ry cci r� 1 <br /> BUILDING SIZE I 1 - 5 m X ; SQ ) SQ FOOTAGE T`"( ( HEIGHT I <br /> rq- BUILDING $ L-`f .r j i w • '� ( VALUATION OF TOTAL CONSTRUCTION 2_4C0 . <br /> ELECTRICAL IS AMP SERVICE r PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING I$ <br /> L MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS n R ING nil SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA 1 IYES Q1io <br /> BUILDER Li <br /> /Y' 'f.b /�/ COMPANY ,`� ` `E� WD � <br /> SIGNATURE L CSC �� REGISTERED NM. FEE CURR <br /> -- Address & <br /> 1 q7 / it ictu_. Jen nil 40,0_. 3713 Lin e ft ...A <br /> SIGNATURE -- bc l l0 1 <br /> ELECTRICIAN 7 /����� � J�C. _ COMPANY l.A S <br /> SIGNATURE REGISTERED N FEE CURREN N <br /> Address 3S ()Its 1}lten 2ND ZPJrhi list d5 Lkense# 1CGeac3 \2n i Q 1 <br /> PLUMBER // E COMPANY l C'mot Mob bt SIGNATURE �� � �/ REGISTERED iY DN 1 FEE CURRENT dor, N <br /> Address y J Yi it ' .: I I Li It 3 , • License ## 11\ CCC0 ..1 go 1 <br /> MECHANICAL I t1 j� , / �'` e COMPANY I("5 r +i,'O_ <br /> SIGNATURE ( _vYlit /J REGISTERED I N 1 FEE CUARENT 10)N <br /> Address I gill, i path i17d - ,,, h,1 4,.... 41 I I Liense# P- 1 , 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # 1 1 <br /> RESIDENTIAL Attach (2) Pit Plans; (2) sets of Building Plans; (1) set of Energy Fame; R-O-W Permit for new construction, <br /> Minimum ten (10) work days after submittal date. Required orsite, Construction Plans, Simm afar Plans w/ Silt Fence installed, <br /> Sanitary Fadities & 1 dunpster; 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 subndtiat date. Required ensile, Construction Plans, St nn water Plans w/ Sat Fence installed, <br /> Sanitary Facilities & 1 durpster. Site Wodc Permit for all new projects. AN cormmerdal requirements must meet comp/once <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> FA out appaletion completely. <br /> Owner & Contractor sign bads of application, notarized <br /> If over *2500, a Notice of Commencement Is nsquied. (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 PERMrT71NG (Front of Application Only) <br /> Reroefs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />