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813 -780 -0020 City of Zephyrhills Permit Application .-r f 05 3 � <br /> Fax-813-780-0021 <br /> Building Department <br /> Date Received ,2/ Phone Contact for Permitti , b MI - alit / <br /> 4 C <br /> Owner's Name �_ Owner Phone Number p �, —� J it <br /> Owner's Address :S(' a • S ao . • I ill Z 5.5 awl Owner Phone Number I? "D . c : '9 303 <br /> Fee Simple Titleholder Name ( 101A l Owner Phone Number L <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I AIR l. \ f I d & c o-rr a . l fl . LOT p , 02 ( I I <br /> SUBDIVISION Pk A XC L.. V„C> PARCEL ID# 24.710. OPP( . Oudl) . (Y-? 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Ei, NEW CONSTR ADD/ALT n SIGN E MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 SFR E COMM n OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK ri FRAME n STEEL (D OTHER g!:4i�' ►» <br /> DESCRIPTION OF WORK UiP i Ron pr 11y a f P pl <br /> BUILDING SIZE 1122 x 14 , 1 1 SO FOOTAGE 9 C 1 HEIGHT 1 <br /> 1 BUILDING $ ,I , C:Ci <br /> L-)° VALUATION OF TOTAL CONSTRUCTION o/Uk (J u . <br /> ELECTRICAL $ AMP SERVICE E PROGRESS ENERGY W,R.E.C. <br /> PLUMBING ($ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> r <br /> n GAS n ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS ` FLOOD ZONE AREA EYES <br /> BUILDER FAe i . &O11 46( <br /> SIGNATURE REGISTERED N FEE CURRENT <br /> • <br /> Address I L f R Ikl !e 3rd live Jetxutp , 32631 License # I 1 r- <br /> ELECTRICIAN , /��' 1 , 1 fath_e R I S T TER E D Ca I I FEE CU EN/ N I <br /> SIGNATURE <br /> Address J ) 3 c - M5 Alen F - N . z e p h A v i l k tZ 559/h1 Licenses I -. w 12q 1 o I <br /> P L U M B E R � � COMPANY F l e r J L 101 l- h Sc SIGNATURE �� (r" REGISTERED Y N I FEE CURRENT N <br /> Address q1,0 Uw IC 3rd it'[Jr- . Ft' I(1 f/U Y� I R 3213 <br /> License* I (1- bO L�D-1 La <br /> MECHANICAL U COMPANY �' 1 <br /> SIGNATURE �� REGISTERED r c�- N FEE CURRENT YIN 1 <br /> Address I L / 1 4 1 -ii A itiR Imo( Z)4/1/ VI (/S FL_ 1,3s -z r License# I I b-iFj9. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I 1 License* I 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 aH 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. (AIC 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 />