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813-780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> r Building Department ) ' it 141 I <br /> Date Received I S - 9 /9 Phone Contact for Permitting 1g 3 W - /o ,l <br /> Owners NamelNl r4.U/6 'L f Owner Phone Number <br /> ` 9f/ r soat•arr.c ire <br /> Owner's Address y eAme - As 9 K �b . .3T� 6;3/0 M 1 I <br /> Owne Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number 1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c ISaiii3 Ri AJt'i 62y, Z 1]} k t 13.,,T�a LOT # <br /> SUBDIVISION 1mA 'hl. bme, PARCEL ID #Ia4^..4'a /-0ei00 -CD IL 0-0090 <br /> IOSTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED — NEW CONSTR ADD /ALT Q SIGN Q MOVE Q DEMOLISH <br /> — INSTALL REPAIR <br /> PROPOSED USE = SFR n COMM = OTHER I <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER I <br /> DESCRIPTION OF WORK lfX�Of`I �IQ&S-R00141 Sk� ly yp� p Gi‘n.irt. <br /> BUILDING SIZE ( 1 SQ FOOTAGE I h 03 HEIGHT <br /> BUILDING Is // 9 $10•C° VALUATION OF TOTAL CONSTRUCTION <br /> d ELECTRICAL S _300 op AMP SERVICE I PROGRESS ENERGY = W.R.E.C. <br /> F PLUMBING S <br /> EZ(MECHANICAL I$ 35'0 0D VALUATION OF MECHANICAL INSTALLATION <br /> n GAS = ROOFING n SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS ( FLOOD ZONE AREA =YES =NO <br /> BUILDER '�..i'� /� /�, _ . 4 1i a- COMPANY IAl15fi'LICtl6Y• ck <br /> SIGNATURE S LLLJ� REGISTERED I Y/ N I FEE CURREN 5 Y/N I <br /> Address - , ..._ Agrt, - •Z _ .... r. Y/ Ucenae# IC661)5'11 ) <br /> ELECTRICIAN Y t5 /�J/ ° COMPANY (mb eta, <br /> SIGNATURE //dice.) �i�L •W , / REGISTERED I Y/ N FEE CURRENT 1 Y/N I <br /> 1 / <br /> Address 170. ' oX 16 Z+Lp�r h/ lIS I License If 16K f) nn. 443 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I <br /> Address C .) '. J 1 Ucense # I <br /> MECHANICAL f r <br /> COMPANY I �tihr's f ropetMe 4. 64.4. vs-/�� <br /> SIGNATURE <br /> A REGISTERED I Y/ N I FEE URRENT I Y / N I <br /> Address ( wilt �/& kV. Z -hi r/ /S, F/. 335V f 1 License # IC RC 643 9Y 8 <br /> • OTHER COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I <br /> Address 1 <br /> 1 Ucense # 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities a 1 dumpster, Site Worts 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 submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 82500, a Notice of Commencement Is required. (A/C upgrades over 85000) <br /> Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways-needs ROW <br />