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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department ■ * 4) (49 / <br /> Date Received 5- C)--(1) Phone Contact for Permitting -- <br /> Owner's Name E Pti' `oitiihD/.15 , t L C • Owner Phone Number B'3 - 733 - D6o2? <br /> Owner's Address 3C?9 /u'IPrff GAI r A / 113366 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number i <br /> l <br /> Fee Simple Titleholder Address / p /' <br /> JOB ADDRESS ?75L' ts�LL 13G�� 2,�i� Y/� ��4 ` ', �L f / ` LOT # <br /> SUBDIVISION PARCEL ID# <br /> (MAINE/FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I, k ADD /ALT I I SIGN / I 1 MOVE I 1 DEMOLISH <br /> INSTALL 1 REPAIR <br /> PROPOSED USE 1 1 SFR -LP COMM I 1 OTI4ER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK E - FRAME (J,( 1/ E I I STEEL 1 1 OTHER 1 I <br /> V "�` / 1 <br /> DESCRIPTION OF WORK Auf (d d <br /> BUILDING SIZE SQ FOOTAGE J/ ' HEIGHT 1 <br /> NA 1 BUILDING $ VALUATION OF TO 'AL % ..:A - • <br /> /,r b <br /> I-N., I ELECTRICAL $ AMP SERVICE / 1 R GRES` ERGY N' I s r - 1 W.R.E.C. <br /> / e Ei v n , �( �' 'rti// /'�. <br /> IN..., 1 PLUMBING $ i, y"" / (c j i )61 <br /> I 1y D 0,\146) <br /> /1) 61 r ,t ,'' <br /> 1 .4 1 MECHANICAL $ // VALUAT • MECHANI AL INST Y <br /> 1 0. fi r ' , -_._ <br /> Wo c., 0 Pk / ' ' CU-- - 1, <br /> i 1 I 1 I I <br /> GAS ROOFING SP ■ Y OTHER - P ' <br /> O f' ,j FINISHED FLOOR ELEVATIONS F OOD •�� YES 1 1 ' i v <br /> BUILDER ,, o COMPANY f ' <br /> SIGNATURE ' 41 - )4k) REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address ia0q C alai_ tie <l 1 �� I '-C 33 /9' License # C $''+ /`7"I <br /> ELECTRICIAN Q //Q <br /> �j COMPANY <br /> SIGNATURE `� `� REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> / Address I License # <br /> PLUMBER ' <br /> LUMBER . COMPANY ro`1 .T Sut.€fvri Pi-LIMA/ 6°7 IAJC CIN' <br /> SIGNATURE /(7 9 REGISTERED AA FEE CURRENT I Y / N 1 <br /> Address 9I 3 6R i 66'61 crx, F • 3 35 (42 License # I C_ r Cc 2152 <br /> M E C H A N I C A L C O M P A N Y G r � ItkcW A t <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I YIN I <br /> Address 1 4 H 5 iu AI P 6 A L /1 A iimpil ,// 33‘,131 License # C-M C a W 1 0 "7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # (- <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 /> Driveways -Not over Counter if on public roadways..needs ROW ..,..a.,.., . , . .r �.,, ,n.. - <br /> ie • <br /> . * ( <br /> i '.I +) 6 4 � ��4?i ' <br />