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813 - 780-0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> Building Department { <br /> Date Received <br /> 1 P ��e - 15 I ✓ <br /> Owner's Name v,, Owner Phone Number <br /> i3 ` 1? <br /> -: �4 ' r t i �Q n om(' <br /> Owner' Address � r.. � e_ , • .. _ ,r Owrwr Plmorm " ember 1312/ ' 1 Ud " �1 Jll �l <br /> Fee Simple Titleholder Name �' ry T . 1 Owner Phone Number 1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5115 _ y � &r j be_. at h- LOT SUBDIVISION SUBDSION ]J t ( � PARCEL WO 0.4- Jt0' :)-I ' 000Q • DO ICn.; ` Ql T t 0 <br /> �" (OSTAIIIED FROM PROPORTY TAX NOTICE) <br /> WORK PROPOSED E NEW CONSTR 1 1 ADD/ALT El SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM n OTHER <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL I:Er OTHER <br /> DESCRIPTION OF WORK i :\ "e(1,, C <br /> f,1 A in C �{ <br /> Li [ I ► tl ode I 1 . ittir me . <br /> IN <br /> BUILDG SIZE I r X /t :3`"1 m SG FOOTAGE 1 0S HEIGHT 1 <br /> BUILDING $ i nl <br /> I : 4 00 . co VALUATION OF TOTAL CONSTRUCTION 1 n 1 2 N't= <br /> 14 <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY a W.R.E.C. <br /> 1 PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA r1YES pi g6 <br /> BUILDE �� COMPANY fo k � \L b f hg- 4 / �± <br /> �1 `f' �' -1 J ( d ,,rm REGISTERED / N FEE CURRENT �7� <br /> `-- Address 4Lb L J v 1 t4?)( ikie. 1 vN i AtscN ELI ucense # I it-t- 000c •D' 1 LP I <br /> ELECTRICIAN Ala g� (Q <br /> / N (i.e. COMPANY i G <br /> SIGNATURE 2!, Y� 1 c.i � rICC tax "� -i�� �� REGISTERED <br /> ns <br /> T b N FEE CURRENT i � hq l r YI/N I <br /> Address (3�g35 Cr -k iS F \ �� t Zc-A 1 1 1 tit I c_l ! ` '� , r Licee # ( ( --w,2 0 <br /> PLU loe.------t----// `' COMPANY 1F(y� MURE �„� <br /> 2 /� _ REGISTERED � /Y� N I FEE CURRENT <br /> r N <br /> Address I L Kitki (0 . ) t r f L S-e,h I1.i 4 ) A ci 1 � ; ^ Ucem:e # 1 i N " u R , ��r�pLill i t <br /> M GNATUR AL ��/ / / ,J _ j' n / ® COMPANY ( ( � m,_ �1I ` ( t � <br /> SI <br /> REGISTERED YJ N I FEE E CUR NT T <br /> Li) N I <br /> Add. (gigiilt k\vcr, 2£� r hti'� 1 <br /> I # Ic..Pcoa'qLIS <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED I Y 1 N I FEE CURRENT I Y1 N I <br /> Address 1 1 License # 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans: (1) set of Energy, Forms: R-O-W Pennit for new construction, <br /> Minimum tan (10) working days after submitted date. Required onsite. Construction Piens, Stommwater Plans w/ Sot Fence installed, <br /> Sanitary Facilities & 1 dunpster, 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) waking days after submittal date. Requled onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary es & 1 dumpster. Site Work Permit for all new projects. Act commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) set ) sets of Engineered Plans. <br /> • • • PROPERTY SURVEY required for all NEW cansimcdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back 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 Application Only) <br /> Reroots Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadveays..needs ROW <br />