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813-780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021
<br /> Building Department w l /
<br /> V F�
<br /> Date Received .S - II I D Phone Contact for Permitting 8/ 6 -- 791-q -
<br /> Owner's Name (7 105/) • 0.707 r 'A-S Owner Phone Number A/ 3 - 7,93 -6/89
<br /> Owner's Address 7O6D 6,, 44 I3#t.az• Owner Phone Number
<br /> Fee Simple Titleholder Name L/3, /7G , 2tJ //d1+L -4 Owner Phone Number I
<br /> Fee Simple Titleholder Address >0..i 0 Gfi.i.k. 43/-a -. Z4/ y ai i s • (/' . J3,5
<br /> JOB ADDRESS v 723 (,3i_z ek✓e42, Z -11 - d 2 A/°2 LOT #
<br /> SUBDIVISION PARCEL ID# 03 - G14, _a 1- de'10 03300 -C>d /O
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR FZI ADD /ALT I SIGN n MOVE n DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE I I SFR I I" COMM n OTHER 1
<br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER I
<br /> DESCRIPTION OF WORK / n ,,y..,„,„..�u- „.. [ic / _.; ,• E
<br /> BUILDING SIZE SQ FOOTAGE HEIGHT
<br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTIO ■ 02, OCR . e
<br /> I 1 ELECTRICAL $ AMP SERVICE 1 I PR• - NERGY I W.R.E.C.
<br /> WI PLUMBING $ e sD "/ 3 --
<br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> •
<br /> I GAS 1 1 ROOFING [VI SPECIALTY r OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO
<br /> BUILDER 1,D, COMPANY SII,AlAfoou+vc LOn)1�/ellez_ fa V,
<br /> SIGNATURE ge...ddr C' C..G�Gt �' W
<br /> .t. REGISTERED 1 Y/ N I FEE CURRENT Y/ N
<br /> Address 53o.5' 64,1, 6rIER,LIfi0 icy,jr. License # e6 C. /d - / /(D 76
<br /> ELECTRICIAN COMPANY
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
<br /> Address License #
<br /> PLUMBER i I t L� C OMPANY l� LA �A9l 2 6 � I/.
<br /> SIGNATURE REGISTERED I Y / N EE CURRENT 1 Y / N
<br /> Address 5:3 CAm(oek.4.L41EA ,41/,f License # era. 1 ya2 7 A/G $3
<br /> MECHANICAL COMPANY
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
<br /> Address I 1 License #
<br /> (:6 1;;E)11 - - COMPANY l4 - 7 't7 $ c,riCi U , . u"c
<br /> IGNATU -. _,i1111t REGISTERED I Y / N 1 FEE CURRENT I Y/ N I
<br /> • dress / 9 3`i 1 4 -€c . 44K -14‘,.< Sta..2 f Li- -? P.- ?3`.`t License # I �S 0-0003 9
<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 (Plot/Survey /Footage)
<br /> D ' - nver.Countiar iLon.raulam s..needs ROW
<br /> MINIM . JAMS ism n3W$3e i NAM
<br /> , . ,.,.«•
<br /> a WI %OW • 3.1601 r ' % ' sown* • 3101'1 yISOti +,� _,_ ,,
<br /> ,ft 0 N retas9 0 ; , ,f t quA e*rlgx3 .moo3 0 • � •
<br /> it MO00•�9 $t1$tSGO1noinu ato3 • •'?_.."
<br /> .Ault ¶Watt swag blase ` ' I MMO, AprowfT IOW 4.,.1% •
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