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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department / D 3 <br /> Date Received (0 - C to — 1 0 Phone Contact for Permitting — <br /> ..2 thI <br /> t X /e 4*a <br /> I tt'f. GL C <br /> Owner's Name � O wner Phone Number � - 33 ��� <br /> Owner's Address 60 A144C, LP T'}'J if4 i� Owner Phone Number <br /> Fee Simple Titleholder Name Stelka,_ Owner Phone Number <br /> Fee Simple Titleholder Address 7 or �i /� <br /> £" ,1L <br /> JOB ADDRESS 6, 1 / I1,P '//7t, PL LOT# <br /> SUBDIVISION PARCELID# 3 C - 2502 / - O/3° -00000 -NW <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR COMM -- I I OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK �/jM"' RVIC. 07" /e4 / / tY-__ <br /> BUILDING SIZE SQ FOOTAGE _ " - I YOO '? HEIGHT <br /> -..y I BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ G/.., AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING ((�c, SIP <br /> -"F--1 $ L-/0 6., 14' (D <br /> `+ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI I 0 , ea, / / c <br /> <bo o — <br /> I i GAS 1 1 ROOFING I 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES Es , • <br /> e r'y ( X r'r <br /> BUILDER j/ r , , COMPANY [\ � b�A �r — <br /> SIGNATURE - ^"'1 j' V v Li REGISTERED N FEE CURRENT 1 YIN I <br /> Address • \A9, 4,1._ - ` % Z • t■ SJZ• ' License # I G /-3 [ 3- . l 9- 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> PLUMBER t1 ditieiniavL-, COMPANY fzov J- `.eol—civ4, "J PI-136, t(c , )Inc • <br /> SIGNATURE / REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 4-' 13 13R 166E T T LAN E. License # C EC 2-1521 <br /> MECHANICAL �P p�s COMPANY <br /> SIGNATURE / `-i —' 1 REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> r ti <br /> OTHER COMPANY If .1.- (- / <br /> SIGNATURE, / / , /. /j , Yj ,® -'' REGISTERED _ - -I / I FEE CURRENT I Y / N 1 <br /> Address a lt. L if � / !✓ e A/ fiA/ ,! License # li 5 vllaV a - ' 2 <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 /> e; -y, <br /> ! 2 <br />