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813-780-0020 City of Zephyrhills Permit Application Fax- 813- 780-0021 <br /> Building Department k �u t 2 4 <br /> 1 <br /> Date Received Q Phne o Contact nor UU <br /> Permn6 0G -, 1 S i 1 .. <br /> Owner's Name 1130C-- V t t c (L ) Owner Phone Numbe e) . -- �� 1 3 1 h c (Q 1 <br /> Owner's Address Owner Phone Number 1 C q� l► 3' 1 iX) ' 1 Jg 1 <br /> Fee Simple Titleholder Name 03 A <br /> Owner Phone Number <br /> Fee Simple Titleholder /dress — 1 <br /> JOB ADDRESS 13al G1 / V Ack i LOT* 5..3 1 <br /> SUBDIVISION >° 1L Ot S PARCEL ID#�4•� t'itiDO 'comp Q . C1l T'1 [' <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED I NEW CONSTR ADD/ALT [l SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ©---"-- SFR fi COMM n OTHER 1 [ <br /> TYPE OF CONSTRUCTION Q BLOCK ���JJJ��' yyy El FRAME Q STEEL 1 L4- OTHER <br /> DESCRIPTION OF WORK ) i n ►X1 � model r e p In a me_r it <br /> BUILDING SEE I Z n '"1 li 1 SQ FOOTAGE 1- M HEIGHT 1 1 <br /> ®/ BUILDING $ / 4 op I VALUATION OF TOTAL CONSTRUCTION it aq Lib , <br /> r ELECTRICAL $ AMP SERVICE ❑ PROGRESS ENERGY r2r <br /> PLUMBING $ <br /> I tr $ VALUATION OF MECHANICAL INSTALLATION <br /> 11 GAS I ROOFING n SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 YES EE NO <br /> COMPANY / Y \c �DtiL Sic . <br /> SIGNATURE REGISTERED I d N I FEE CURRENT 16)/ N <br /> Address I '4 tsW l 3 4 Avt. ,. r.1,.° -. • I , C2.371o53 � � License # Ili 4� - a-1l o I <br /> ELECTRICIAN ' j COMPANY i, A l `UIoL>� ec W.iC- <br /> SIGNATURE Gi REGISTERED t � 4 / N I FEE CURRENT d N 1 <br /> Address 60jj ti Rake P/. - hi_ 1btt 1 539-lb License # t_ e_- _• totZ9 \o <br /> PLUMBER _ Z ^ /�'� (/� COMP tQ (�1E\!' CURRENT SIGNATURE <%r / /� " �� r_ REGISTERED I Y}I I <br /> Address Ii-kgri UJ 1 d �� U , `l 32 License # I I A' Min2Ake I <br /> MECHANICAL / ! r I � ' &?L- Y _/�(- C/J COMPANY <br /> REGISTERED Q N FEE CURRENT 15y N <br /> Address I t I 44l, k e \\ 335 ( t icnae # .0..q q..,. <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> I 1 License # 1 .1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Starring Plans; (1) set of Energy Fos; R-O-W Permit for new construction, e <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans. Stomiweter Plans w/ Sit Fence installed, <br /> Sanitary Facilities 8 1 dumpster, Site Work Pemit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plena 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 data Required orate, Construction Plans, SMrnwater Plans w/ Sat Fence instated, <br /> SIGN PERMIT Facilities 8 1 dunpatec Site Work Permit for all new projects. AN Commercial requirements must meet camptarwe <br /> () sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fes out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2600, a Notice of Camtne ncement Is required. (A/C upgrades over $5000) <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 AIC Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter it on pubic madways..needs ROW <br />