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813 -780 -0020 City of Zephyrhills Permit Application rax-° I OU-UUC 1 <br /> Building Department / 0 ( 5 <br /> Date Received Phone Contact for Permitting l -- <br /> Owner's Name PI 411-1ELL) VAR U q ki.E E Owner Phone Number ' 7 / ? 3-- 0 7 0 ? . <br /> /o <br /> �7 7 J� C1fk' Sy r p Q <br /> Owner's Address I �*T"'�d� �'] " �/ S �� "� ���Ovbner Phone Number (7� 0 '- 9 0 -� � �� � ( • <br /> Fee Simple Titleholder Name <br /> A' t"' ( j g.r VII-Rt,4 Ci I Owner Phone Number I7/8 ! 8 6 707 ' <br /> I '7.7 /� �1 �j /✓oif/ i9✓'e/ STATE 1'SCA 9. /tf,/ - (o .3/ ' <br /> Fee Simple Titleholder Address p y l <br /> JOB ADDRESS I 'T 9 5 ? S , Ze q H L1 , F t — 3 3- -91- - • I LOT # ( <br /> SUBDIVISION I I PARCEL ID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> r-1 SIGN 1 OVE 1 DEMOLISH <br /> WORK PROPOSED I \—I NS CONSTR I REPAIR f ' ( l3© /1cn) i e 70' <br /> PROPOSED USE I I SFR 1 I . COMM I `c/r OTHER I I' €^'CE ) <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER 1 ^. I <br /> DESCRIPTION OF WORK 1 , i‘i '" T 9B9r-ii< O €Xisn / /Etitfiril 4 c X 714 <br /> SQ FOOTAGE I HEIGHT I 'e h e ' CAW <br /> BUILDING SIZE - , C, °rJ <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION qg a r .t. <br /> 1 ELECTRICAL $ / AMP SERVICE 1 1 PROGRESS ENERGY n <br /> W.R.E.C. <br /> PLUMBING $ <br /> i <br /> 1 MECHANICAL $ / VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I I SPECIALTY C OTHER(t #' . C ( ) <br /> FINISHED FLOOR ELEVATIONS V FLOOD ZONE AREA 1 IYES 12g <br /> COMPANY I l I <br /> BUILDER <br /> SIGNATURE REGISTERED I Y/ N I F EE CURRENT I Y / N I <br /> Address / License # 1 I <br /> COMPANY I I <br /> ELECTRICIAN t <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 L License # 1 I <br /> v <br /> COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address '� <br /> 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I `` i se # <br /> i�C�e�n , e^"v7v C7� <br /> 1:`• �y COMPANY T ZAPS�L"Pj16 x �N F' <br /> OTHER SIGNATURE / 1 , e . I REGISTERED I Y / N I FEE CURRENT 1 YY / N I <br /> Address (77 Al c0.hh� 4e , S` /cis 1,1- ^'D/ 1403// License # ( 'z '!1 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 onsite, 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 onsite, 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 $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 /> Reroofs Sewers Service Upgrades A/C Fences lot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />