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813 -780 -0020 • City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department i° / l 2-5 Date Received • - / ! Phone Contact for Permittin. - <br /> Owner's Name &A O) J/O/2.1'LLI tv 1)01W11 -r5 LAX- Owner Phone Number 7 ifFc - I 0 �p <br /> Owner's Address 4 / Pal / vrS r l l kC ti Rai • Owner Phone Number <br /> Fee Simple Titleholder Name O Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS I371.33 Corc4 LY-w 4S I'117t. LOT # 3- <br /> SUBDIVISION &tsck 1-t 115 PARCEL ID# 3q'a•S a r' - biBO - DPCCO •. 3a30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED u NEW CONSTR B � Q ADD /ALT � SIGN Q DEMOLISH <br /> H INSTALL REPAIR <br /> PROPOSED USE n SFR Q COMM r1 OTHER 1 <br /> TYPE OF CONSTRUCTION r- BLOCK El FRAME 11 STEEL Q I I <br /> DESCRIPTION OF WORK 6ad56 � d1 <br /> fr.Cr:etv..• Ypor-V Shr toe.t....o,h3 L e.a <br /> p %.,citi. <br /> BUILDING SIZE SO FOOTAGE I /.44 HEIGHT <br /> I ( UILDING . 57 - .y{ VALUATION OF TOTAL CONSTRUCTION <br /> r (ELECTRICAL $ O AMP SERVICE I PROGRESS ENERGY = W.R.E.C. <br /> 11PLUMBING <br /> Is <br /> r MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS r i ROOFING 17 SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA r1YES NO <br /> 11 •10•1 1 . 11 <br /> BUILDER lle \ DA COMPANY I� *n' dNS7/2/4477a / <br /> 1 <br /> SIGNATURE ! c dd REGISTERED I Y / N I FEE CURREr 1 Y/ N I <br /> Address P.,. p • i , c /e). Z- 1/ License # ( moo S7) 83- <br /> ELECTRICIAN r 1 COMPANY I !/ Y/ N e• -• . SIGNATURE REGISTERED Y! N FEE CURREA Y / N <br /> Address r.p.two /s3 4 -/.,(1 License # I ERPoo? <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN. 1 Y/ N I <br /> Address 1 1 License # <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address 1 License # <br /> • <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREI. 1 Y/ N I <br /> Address I License # I <br /> III IIIIIIIII 111111 1111111 11111111111111111111111111111111111111111 <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, Stomlwater 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 /> 1 •• 1 •••• 1 . 1 •••• 11 . 11 11 1 11`1111111111111 <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 82500, a Notice of Commencement is required. (A/C upgrades over 87500) <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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />