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813- 780-0020 City of Zephyrhills Permit Application Fax -813- 780-0021 Building Department Date Received 1 1 phone Contact for Permitting y 0T 9 • -15 1c 1 16 Owner's Name 1 i�t - rL t 15 t_.t_C._ 1 Owner Phone Number ($1 ' l ,�, 3 - 1S 1$ 1 owner Add ress l f , A2 s 1 j ` £ 1 Owner Phone Number 1 $ l 3 ' el S0 - 1 0 `) I `O Fee Simple Titleholder Name Of\ Owner Phone Number 1 Fee Simple Titleholder Address 1 — (2.0\-1(1.k } 1 JOB ADDRESS 381 A \. t ( �,` y SUBDIVISION Ma L t / 1 )c 1�� PARCEL IDAI9 p-1' 0006 - COI et • L LOT d 1 �`i I O I Lill (ORTARED FROM PROPERTY TAX NOTICE) WORK PROPOSED Fj", NEW CONSTR I ADD/ALT Q SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE I\ SFR I I COMM n OTHER I I TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL Imo' OTHER pri gigmea a* DESCRIPTION OF WORK 1 LC\ p V r m ( Pi ( � _(-* BUILDING SIZE 1 (a x 3 y h SQ FOOTAGE 1 L k V HEIGHT I I '--I' BUILDING I aq M , L - )C J VALUATION OF TOTAL CONSTRUCTION il 3-61 CC) I-� ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY = W.R.E.C. I-' PLUMBING $ I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION n GAS n ROOFING n SPECIALTY J OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES ©O f .. . ....... ........... ....... .. .... J� � ,% BUILDER ! /�' ( J /' +L REGISTERED �},� IF� `ld� V� Svc . SIG � ��f �" � � , (� I Y N I FEE CURRENT r h/ N i Address Li 1 4 t r ►"tv� . kh'\x .t �C aztrA Lk. # y/ / / / c u COMPANY VI w r k C c[ kQ.IC.. 1 SIGN A7�iJRE N / J � i 2 / t tL�_ REGISTERED i (Y') N I FEE CURRENT © N Address I 3 ' 0 - 1 - v - , IA +tee ed. " L e 0 h , - 1 1 h,lS , �13 = License s« 1U.. cw lei tr 1 PLUMBER COMPANY rte{ t 1,e_ }�� c C „ SIGNATURE � � REGISTERED Y N 1 1 & le FEE CURRENT } r Yr N Address I 4W{1 Nti 4'5d Arc f 32 SIGN N 7nil �fi ,ti J REGIS TERED 1 i �C7.!( �Y S �/C._ NATURE Z ,, Q/ N FEE CURRENT 410/ N Address *AM ai\fXl Zt ph>.1T 1\%1. - , ft_ - 3c --- ) 1 4 I I License # le-c--0-1 59 Lt , I OTHER SIGNATURE COMPANY REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I I uce nee # 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Budding Plans; (1) set of Energy Farms; R -O-W Permit for new construcdon, Minimum tan (10) waking days after submittal date. Requited onske. Construction Plans, Stonmeater PIERS w/ Silt Fence installed. Sanitary Facilities & 1 dumpster. Site Work Permit for Virgo projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set 01 Energy Fors. R-O-W Permit for new construction. Minimum ten (10) waking days after submittal date. Requited onsiite. Construction Plans, Stomwater Plans w/ Sit Fence installed, Sanitary Fealties & 1 durlpsier. Site Work Permit for all new projects. AM commercial requiem ants must meet compliance SIGN PERMIT Attach (2) sets of Engineered pans. ""PROPERTY SURVEY requited for all NEW construction. Directions: FP out application completely. Owner & Contractor sign back of application, notarized H over $2$00. 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) Reroofs Sewers Service Upgrades A/C Fences (pa/Survey/Footage) DTIVSWays - NOt over Counter if on public madways..needs ROW