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813 -780 -0020 City of Zephyrhills Permit Application , <br /> i f �-' <br /> Building Department /055b <br /> Date Received ! , Phone Contact for Permitting f1 ,7/4 -- / `"(1 • <br /> Owner's Name a „,, I d 4 y - c t l ' ) 0 1 no r Owner Phone Number i r J 3 - 233 6 )�- I <br /> Owner's Address 371,6 6 e o (> ' f ;i.J Li .@� S 3 OtJ>_ , Owner Phone Number 93q- 15V - 3Of 5 <br /> Fee Simple Titleholder Name ' � Owner Phone Number <br /> Fee Simple Titleholder Address t `, t <br /> JOB ADDRESS .3 f (G3 CCC(>i..� L e ki t �� t <br /> ' t - "t"v -- . 6 -7 r LOT # 5;X3 <br /> SUBDIVISION 1 ( � . - C / "ZenS PARCEL ID# " a 5 -- f - c 2 - 0o Jl .l )' 3 b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> X INSTALL REPAIR <br /> PROPOSED USE xi SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK [ I FRAME I I STEEL [} OTHER (? <br /> DESCRIPTION OF WORK I do \ . �(Y p_ jj 1 (fly t \cJ- c <br /> BUILDING SIZE 1 1--� SQ FOOTAGE! 1) 1 7 2 HEIGHT <br /> I I BUILDING $S` ( 50 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ ± 1 500 AMP SERVICE 9CO I I PROGRESS ENERGY 1>t1 W.R.E.C. <br /> I I PLUMBING $ WO ' <br /> MECHANICAL $ 1 y 0 CD VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES ENO <br /> 1 <br /> BUILDER COMPANY Ucni 7l. LL <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address 3` ?O ii _ _ a k , f _t 1 . , it!_ ' o L License # H - (>t`>C4 /` t LI <br /> ELECTRICIAN (�° C�� COMPANY J� Jr� V + V <br /> SIGNATURE -/a\ - 01` 1,” � -� REGISTERED I Y / N 1 FEE CURRENT I Y / N I <br /> Address 3 ( f c lr E 1 \ci -cL L . 2,14 t It 3. 1 I a License # ER. 3 OCR- 5 (05 <br /> PLUMBER COMPANY rr) <br /> SIGNATURE �`-- )6P \ REGISTERED Y / N I FEE CURRENT I Y / N I <br /> Address 3C1C 1 t - f J _ .7- iv, 3.35--10 License # 'I 'O ( j I <br /> MECHANICAL COMPANY 1\ V1 <br /> SIGNATURE Jr J j :I\ ' ` - REGISTERED / N 1 FEE CURRENT I Y / N <br /> Address -\-\ \ , Cet Z i \\S ° S 5 4 I License # C A en La l " 1 x <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <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 <br />