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r- 813- 780.0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 Building Department .( I t 24 Phone Contact for Permitting k) ff . - 1 owners Name NI el, 1 1 1 Owner Phone Number S 13 ° SI)*C17- I Sr i` - . �' ' -' �� 5S3 -1SIR Damar address ..,i.._ • _ lC ? owns. Phone Number �) Fee Simple Titleholder Name 'OR Owner Pirate Number I Fee Simple Titleholder Address 1 — I JOB ADDRESS ,3 1C1 1. f l (-) -t ^G �] r Yil 11S UD W LOT* I ' L i ' SUBDIVISION q l -VAC. CO. VS PARCEL mA I a14 " alp-at. . • I -) D J ■OBTAHED PROS. PROPERTY TAX NOTCE WORK PROPOSED n NEW CONSTR I ADD /ALT n SIGN n MOVE n DEMOLISH �/ INSTALL ` REPAIR PROPOSED USE 1 .,}-- sFR n Comm n OTHER I I TYPE OF CONSTRUCTION Q BLOCK (� E Lie'. �LAI / � y F LO � CK � FRAME n STEEL / - OTHER DESCRIPTION OF WORK lQ (' u) In part t I r �,./ ,C A i ►K.1 rL BUILDING SIZE la � 1 SC FOOTAGE L O L A HEIGHT I BUILDING Is a �-i I (�f') .00 VALUATION OF TOTAL CONSTRUCTION aLt L0 E/ ELECTRICAL $ j 1 , AMP SERVICE In PROGRESS ENERGY f I W.R.E.C. I PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q GAS n ROOFING n SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA I IYES nNO ' r' . BUILDER URE ./.•10 tedle..Z.. CO M p MTERED �l N t e l l i / N -- Address ►. t.,1 r to 3r�_ 1 nit to* k r is3 License # • EENN� 1 � ELECTRICIAN �� l l L J / COMPANY 11I A . , 0 ate f C SIGNATURE /Ki h../ REGISTERED -' ifillais FEE CURRENT rg N PLUMBER Address <. .. is i o • • hi Its �'/1 V License # If E- 6 ) �q /[) SIGNATURE /_ P �� COMPANY _ L, It f •11 #1 Ll� ({�■ � REGISTERED mum FEE CURRENT j O! MEM Address ``, \�Ir�LL:i' allli#�11,i ' . 1� � , '-11. OE Licensse J # /( 1 ff - WO MECHANICAL COMPANYI < f� ., SIGNATURE REGISTERED N I FEE CURRENT n/ N I Address 11111111TAIMWMUITARK 3 r T Ucense# L:, a ; 11111 OTHER COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I S./ N I Address I 1 License* I I RESIDENTIAL Attach (2) Plot Piers; (2) sets of Building Plans; (1) set of Energy Forma; R-O-W Permit for new construction, Mktinurn ten (10) working days after submittal date. Required onstto, Construction Plans, Stomaater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Building Plain plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) waling days after submittal date. Required crane, Construction Plans, Stonnaater Plans w/ Sit Fence installed, Sanitary Facilities & 1 dumpater. Site Work Permit for all new projects. All commercial requirements rust meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY respired for all NEW construction. Directions: FM out application completely. Owner & Contractor sign bad( of application, notarized K over $ 2500, a Notice of Commencement Is required. (A/C upgrades over $5000) " Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) — Remote SOWS'S Service Driveway, Not Counter if Upgrades NC Fences (Plot/Survey/Footage) =oolege) Pubic roadways..needs ROW