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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 f l"C6 <br /> Building Department <br /> Date Received 1 <br /> , / I 1 Phone Contact for Permitting 113 7 par - /D44 <br /> r3 <br /> Owner's Name N& sig '/ r, n Owner Phone Number I J <br /> Owner's Address 6141 �i Crtm Jj -" _ 1( sire-310 Owner Phone Number <br /> -Dialltrat., RL 31dsl <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address s `,{, <br /> JOB ADDRESS 381f 41444kB2� ID 0 • [L LOT <br /> t # <br /> SUBDIVISION AJ 16 Q eiK$ PARCEL ID# aq-cue-a1- 0030- ODCaOO`h1D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR H ADD /ALT rT SIGN Q MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR r COMM 1 OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK 1 FRAME l� n STEEL n • , OTHER I <br /> J{f' <br /> DESCRIPTION OF WORK eor . y M 111()IA 14001400d + 5 gel.) C id cup (femesti C, <br /> BUILDING SIZE . JCC S ITE - s Nil SO FOOTAGE f (/6 HEIGHT <br /> lastwasessest <br /> BUILDING $ 1q3-7.3 • co VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 3'6 • pa AMP SERVICE L i PROGRESS ENERGY r] W,R.E.0 <br /> ri PLUMBING $ <br /> I ✓I MECHANICAL $ / OU VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS [ ] J ROOFING r SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FL OD ZONE AREA =YES NO <br /> BUILDER /�/,e! � , � �� t <br /> COMPANY PIM/4W �%T��� <br /> SIGNATURE c w� ��I' REGISTERED I Y / N I FEE CURRENT p � , ys C <br /> 1 Y / N ) <br /> f,s <br /> Address y0/notris /Ztb( E. Z- 7I/��. 33� - v3) License # ICFX ? o <br /> • <br /> ELECTRICIAN OM lslpr }o rs rt. <br /> SIGNATURE ��J E l ? j j 7 ► � 1 R RED I Y/ N I FEE CURRENT I Y/ N i <br /> Address 'f J 1UA 153 7 7 -11 1 335 9 1 License If I ER 000 a1 4 r3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address V License # I <br /> `i e' ( / 1 v' edit AP C r PFOJuc Ali f- e <br /> MECHANICAL /! COMPANY <br /> SIGNATURE 44 ! J <br /> . REGISTERED 1 Y/ N I FEE CURRENT I Y/N I <br /> t� ?f .��s r 3 / <br /> Address � - z License it I eipC v 131 fed <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y 1 <br /> Address License IS I <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 onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; 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 submittal date. Required onsile, 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 $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 Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />