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813-780-0020 City of Zephyrhills Permit Application Fax - 813 - 780-0021 <br /> Building Department <br /> Date Received j Phons,Contect '+o� - Is�D�v I °l 1 <br /> Owner's Name K)it. • VI... 1 15 j uto 1 Owner Phone Number 1 • <br /> Owner's Address - - ' 962.51 Owner Phone Number I D 13 <br /> �'r Fee Single Titleholder Name( IV ttr I Owner Phone Number I <br /> Fee Simple Titleholder Address I / — <br /> JOB ADDRESS 51528 Attops►(,L Maional br. , LOT# I AO <br /> SUBDMSION t J1,r ; s �. �, G ���JJJJ __ LS 1 PARCEL ID# I zq • n .1 Q • ZI • ' • MI 0 <br /> YI� ` (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED lq NEW CONSTR H ADD/ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Fq" SFR I I COMM Q OTHER I <br /> TYPE OF cONS1RUCTION Q BLOCK I I FRAME Q STEEL L4 OTHER <br /> DESCRIPTION OF WORK + ID, 1 IL I I IIJde <br /> BUILDINGS E 1 SQ FOOTAGE I S 15? HEIGHT <br /> BUILDING $ A(.4 I 60 I VALUATION OF TOTAL CONSTRUCTION MOO , w <br /> rr ELECTRICAL $ I AMP SERVICE I 1 PROGRESS ENERGY ID W.R.E.C. <br /> I - - PLUMBING I .I <br /> LL MECHANICAL $ 1 VALUATION OF MECHANICAL INSTALLATION <br /> o GAS n ROOFING F SPECIALTY El OTHER <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA 1 IVES S2140 <br /> BUILDER //la- L� �A / � ` , � COMPANY 1e � IC TOO S / I <br /> SIGNATURE fi(,C . REGISTERED N 1 M�1 FEE CURRENT Q N <br /> Address ha , u ' i 11 L i 1 I L k y A.3 License # (11 OOCDZI to <br /> ELECTRICIAN SIGNATURE I / ( GS/ e iJ. COMPANY L.t (� <br /> I ( /� Allen ,, {�� � 1, r RECt <br /> COMPANY l N nr � p N 1 <br /> Address J W L TT1s AI e I Ed ZJ Irhi I R. 33 i Lfoense E W 1Z- l( O FEE CURRENT CZ <br /> PLUMBER 114/(2.1k/ f a/iX .., REGISTERED t � � bI P�-- O Sr._ . 5 1. ,` , ' � � n <br /> Address 4 r ' , d . 1. L -, ' t .1 ( L , Lioenee # + I N •00e02I(A 1 <br /> MECHAU ` ��I �� / ^ �L / / L f7 O I 0 a� U < E CUR COMPANY SIGNATURE ` � , ` � REGISTERED J F CURRENT di) N <br /> Address titol iWfl ed . Ze v.irFi1►s Fe 3 ,yI 1 L;conse# 1 eit. toi5fttig I <br /> OTHER <br /> SIGNATURE COMPANY <br /> I REGISTERED i Y 1 N i FEE CURRENT i Y/ N i <br /> Address <br /> 1 License # <br /> ■ <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of BRdding Plans: (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days alter submiltal date. Required o site, Constucton Plans, Storrmvater Plans w/ SE Fence iEstaNed, <br /> Sankary Facilities & 1 dumpster•, Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Pleas plus a Life Safety Page; (1) set of Energy Fonns. R-O-W Permit for new construction. <br /> WW1= lee (10) waking days after submittal date. Required oneite, Construction Plans, Stonnwater Pans w/ Slat Fence instaNed, <br /> Sanitary Fad & 1 dumpeler. Site Work Permit for al new projects. Alt conimewial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Wars. <br /> " SURVEY regaled for is NEW construction. <br /> Directions: <br /> FE out application completely. <br /> Owner & Contractor sign bedc of application, notarized <br /> If 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 PERMITTING (Front of Applcation Only) <br /> �-- Reroofs Sewers Semite Upgrades NC Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on putec roadways..nNeeds ROW <br />