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513 - 700.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Budding Department it i 0 / 1)( <br /> Date Received 1 Phonon Contact for Permitting_ _ .. I , L — 1 .. <br /> • <br /> Owner's Name IL - A Owner Phone Number []! ` , ° /2.' 9 LE <br /> ••"� rally 6r0 1 • ' ii Omer Phone Number I l )1 Ill' 7 i$ <br /> Owner's Address /1 , e, �. , p . _ t , - . ll 3� � <br /> Fee Simple Titleholder Name �JI\ 1 Owner Phew Number I <br /> Fee Simple Titleholder Address I — I <br /> JOB ADDRESS z La JJJ el U Ailit4 Nh ri . 7Aophyrhl►LS LOT � # ( — <br /> SUBDIVISION (t"`l l 1� C A PARCEL MO I (9.1-1 gat - ,41 ' a.L. ct 1 l�.J . (Ant) <br /> J qO TAetE* FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R .,/ NEW CONSTR l ADD/ALT Q SIGN 1 MOVE n DEMOLISH <br /> INSTALL + REPAIR <br /> PROPOSED USE [ SFR 1 I COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION Q BLOCK I 1 FRAME 1 STEEL ( q- EpantrEybd <br /> DESCRIPTION OF WORK k1 PC IC Ill W Vi XYlcs �' r P _ 4_mv t-, om <br /> BUILDING SIZE I lick X 3r li SQ FOOTAGE I 5 IS HEIGHT I <br /> /BUILDING $ 9 VALUATION OF TOTAL CONSTRUCTION 1 W CO <br /> 11 <br /> 1— ELECTRICAL $ AMP SERVICE 1 PROGRESS ENERGY Q W.R.E.C. <br /> 1 PLUMBING IS <br /> /MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS n ROOFING r'1 SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA 1 IYES <br /> BUILDER 7 (� % % � E NY ri IM l WI / <br /> S , SIGNATURE ! /( <br /> Address 1 44 4 47 IUUJ rd at-- Ai I_3243 LiDerse# It}}- OCCUZ.Ilp I <br /> ELECTRICIAN ,� / / / COMPANY ,.JI 1I, • <br /> SIGNATURE �j o A _, i / ,! � �L— — REGIST I &7i FEE CURRENT ,©,� <br /> J / <br /> Address l q3S I PI yy I1Lr rhi I /S 1_1.# <br /> PLUMBER //y^ e O COMPANY 7 � �I L , AI i bit i.0 <br /> SIGNATURE ( I , P-�C REGISTERED <br /> � r`I! FEE CURRENT Wu. <br /> Address I i 3Yd 7 � Kn r � <br /> F <br /> 17 License #/ � l 5 . Y II <br /> MECHANICAL C COMPANY t. • <br /> UR T a SIGNATURE ' REGISTERED � N FEE CU NT <br /> RkE <br /> '7 <br /> � / Address / G � I ...:AL i / F . / I License # 74 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y / N 1 <br /> Address I License # <br /> 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Budding Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Mininun ten (10) working days after submittal date. Required onset', Construction pars. Slonmvater Piers w/ Silt Farce installed. <br /> Sanitary realities & 1 dumpster. Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Braking Plans plus a Life Safety Page; (1) set of Energy Fonns. R-O-W Permit for new construction <br /> Minimum ten (10) working days after submittal date. Required onsile. Cancpudion Plans, Stonnwater pans w/ Silt Fence instated, <br /> Sanitary Fadhties & 1 dumpeter. Site Work Permit for at new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW oasbuction. <br /> Directions: € <br /> Fill out application cornpiatey. <br /> Owner & Contractor sign back of application, notarized <br /> H 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 PETTING (Front of Apptwtion Only) <br /> Roods Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter it on pubic roadways..neods ROW <br />