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813- 780 -0020 City of Zephyrhills Permit Application G/ � F aX- elsaed -ooze (` 62 f/ <br /> Lc'/7 /0 Building Department ' ' 6 if v ,,l /) 7 <br /> Date Received =;_ _ �� <br /> - = G.1 Phone Contact f • r Permitting li ' -- <br /> Owner's Name Eito, . I �/ f _Owner Phone Number F�lig 1 f <br /> Owner's Address i � <br /> Cr d LIf k\b ,)E0Nr I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> n <br /> JOB ADDRESS • j�� ,� �i LOT # <br /> SUBDIVISION PARCEL ID#34 ''''p25 3 . 2 1- Q 100 -Go Soo - WO) <br /> (OBTAINED FROM P OPERTY TAX NOTICE) �V/`�� <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 1 1 COMM n OTHER <br /> TYPE OF CONSTRUCTION 1 A BLOCK FRAME n STEEL n OTHER I <br /> DESCRIPTION OF WORK 'M M 4 Q. ) <br /> BUILDING SIZE SQ FOOTAGE 3tO d S • f I :HEIGHT <br /> 110, BUILDING <br /> saw 60 0 VALUATION OF TOTAL CONSTRUCTION <br /> rr�i•• ELECTRICAL $ SO 0 0 U AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> lingEMII <br /> I� MECHANICAL Mb 0 dr VALUATION OF MECHANICAL INSTALLATION <br /> n , { GAS (- n ROOFING n k 1 1 SPECIALTY [ / (��'6T <br /> FINISHED FLOOR ELEVATIONS FLO• t ONE AREA nYES ETNO <br /> .:::::: ...::::::...- ::::::::::::..:a ::::::::: -..::::::::::::: :::- :::::::::::::- .::r: :::::::::::::.................................... ... ...... ..... .... ............. . <br /> UILDER \ <br /> l� A s � l� COMPANY r�l �� <br /> ;��,,� UR i <br /> B <br /> SIGNATURE REGISTERED ? IMF N F URRENT n Erg Address Pill U, 1 MR, �' 1 _ � .�lq t 35i . ,.Li - - e# M. • • _ n % E <br /> I <br /> ELECTRICIAN , � .-. �eif j� COMPANY+ ' /� <br /> SIGNATURE l � k X 79`' <br /> n /{ RE�G IS � TERED • ©� FEE CURRENT /� MEW / <br /> Address �h! 1 I )42I, -lli l, rat ■ ° L icense# E C I • • r 1 3_ / <br /> i.• v. 1/1(1 <br /> PLUMBER * � � �,$ rvirr _ANY �� A I1 � 1 � � . W '� • <br /> SIGNATURE !�. • • , �r ��� 1t � FFEECURREN <br /> Address Ma�� �� UI� ► I • • \ilr"1t berTS2 # - <br /> MECHANICAL i,. Bilarri *MPANY t'�+�.M LI .j ( Q. SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Addre Eel ='I• . ,A 1 0 11'1 '� �',/� 1 =� 3* 3 L VT.,' . 1 <br /> OTHER f � A- COMPANY <br /> SIGNATURE ' `t REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address <br /> License # <br /> 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 /> - -- WW..,.... ....wW.... ..w.... .. ...,w.......,w......W..w..... , W... w ... ..........�................�W.. Ww-----......,..-.---- W...............— ...,...... ...........� ..4 <br /> D <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 <br />