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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Deparbnent <br /> Date Received WARP -- rm <br /> / Phone Contact for Pelt t1�11• tl • Zia - 6 / / , 10 341 1 <br /> C, <br /> Owner's Name . . Owner Phone Number r. : : . 6 3 7,5 3 J 7 <br /> 9a I E ccunw uoc e4 st 831 LD <br /> Owners Address - 4,-4,43- �srlla_in Az.... B's ?-5 <br /> 1 Own.r Phone Number I 13 '1�J 9'�J� I / '; r4^ ,�` <br /> Fe. Simple Titleholder Name A- Owner Phone Number I C � ' <br /> F.. Simple Titleholder Address II - i — � - ( 1 j , I <br /> JOB ADDRESS )"( li r�SL�L( �' ( \ . *�� _ LOT* �l <br /> SUBDIVISION � 1� Ox VS PARCEL H)#IZM 2►' c tc Oa co- OCA0 <br /> (OBTARED FRO* PROPERTY TAX WOOD) <br /> WORK PROPOSED LacT NEW CONSTR ( ADD/ALT r SIGN Q MOVE n MO <br /> DELISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 -- ' .'- SFR r COMM Q OTHER I ( <br /> TYPE OF CONSTRUCTION Q BLOCK r FRAME I I STEEL <br /> ^ r� r � !» <br /> OTHER (1 <br /> DESCRIPTION OF WORK * & buy - 1 par t_. mode, r 2p to �emerrL. <br /> BUILDING SIZE I ‘4 I X .. 3 f 1 1 I SQ FOOTAGE I L(99 HEIGHT 1 I <br /> r .. " BUILDING I (9,4 Ob . V° VALUATION OF TOTAL CONSTRUCTION 5ALI pp, <br /> Ilk ELECTRICAL $ AMP SERVICE r PROGRESS ENERGY W.R.E.C. <br /> 1 PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS I t ROOFING r SPECIALTY rl OTHER <br /> FINISHED FLOOR ELEVATIONS ( ( FLOOD ZONE AREA I IYES NO <br /> BUILDER f--/-717(--- COMPANY I F IeX ►�ldLll� �O S� I <br /> . <br /> SIGNATURE • , t (pact .� I .. - - _ _ , REGISTERED 1 i N I FEE CURRENT 1 � V Allb N ^1 1 <br /> �'' Address ( NW lQr.1d IT�� -- JK-YUW ILL, / ,,. ,, -,,�, f L , iCEnse# I I - IJ,Y Jdl�(J I <br /> E IGNA T YIN / COMPANY l� EC URRE 1 r•l NT I 1 C LEC <br /> SIGNATURE /� REGISTERED 1 N I FEE CURRENT N 1 <br /> Address 1 tq bl-is Alter? &. 254,140k ( 34 License # • eu (29 I 0 I <br /> PLUMBER COMPANY Icier MobklQ__ o <br /> SIGNATURE, <br /> ! c' RUC-- REGISTERED i ( Y) N ' FEE CURRENT N <br /> Address I41/ l <br /> Ali ' C1 _ Jeku -.IfL / �C. 320531 ! , License ## I Ilk • �at <br /> !'``' l <br /> MECHAICAL 4 COMPANYX - PC._- <br /> ( ^4 a RE GISTERED N FEE CURRENT Y ?r N I <br /> Address 441 A{ kn P 2.t51 yr 1 i,l lS EL 339-I I 1 License # 1C--AC---64 Lis <br /> OTHER COMPANY I <br /> SIGNATURE <br /> REGISTERED I Y/ N I FEE cURRENr I Y/ N <br /> Address I <br /> License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of articling Plans; (1) set of Energy Forms; R-O-W Pernik for new construction, <br /> Minimum ten (10) working days after submits' date. Required omits. Construction Plans, Stornlwater Plan w/ Sit Fence instaled, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Buidkng Plans plus a Life Safety Page; (1) set of Energy Fonns. R-O-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required omit., Construction Plans, Stormwater Plans w/ Sit Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Pemdt for all new projects. AN 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 /> Fa out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commenpnwnt 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 Appicatlon Only) <br /> ..._.- Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on pubic roadways•needs ROW <br />