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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rued IINPTNIMIIIII <br /> Phone Carat for • , , , ...167/ 1 ' • - ■. CO # / 616 6 <br /> 0..... N. Q �c (^ t� i Owner Phone Number I <br /> Owner's Address' (a 1 1 l Coi .S rk riff 3(�I (p 4h Owner Phone Number 1 <br /> Fee Simple Titleholder Name In / yi <br /> - i 4 O Owner Phone Number 1 <br /> 'Y <br /> Fee Simple Titleholder Address l (� kO ( Q 0 / 2 a CA. a <br /> JOB ADDRESS - 1 ! � ! TX._ 1 •Iii /.7lyVIE , & LOT, 1 1)1 I h <br /> SUBDIVISION I Mq P ( (. ()I/CZ) 1 PARCEL ID, bar! j F - �_' AJ, l 7 " It� A L 2 (I - 26 - <br /> k (061M W FROal PROPERTY Tex NOTICE) 0 V n / 00 -6090 <br /> R ] <br /> WORK PROPOSED NEW CONSTR 8 ADD /ALT r ---, r ---, SIGN Q ri DEMOLISH <br /> INSTALL REPAIR 3/� � <br /> PROPOSED USE SFR COMM OTHER ✓ 'J <br /> TYPE OF CONSTRUCTION = BLOCK FRAME I STEEL m' i PI (J� C <br /> DESCRIPTION OF WORK 1 I 3U pCikk / / x,J� ( I 10511 BUILDING SIZE I / ' k 1 SQ FOOTAGE MN HEIGHT 41) ? T1 I t � 1 <br /> r �BUILDING 18 1 SOD VALUATION OF TOTAL CONSTRUCTION (;) 3 V Ca <br /> r1ELECTRICAL 18 300 AMP SERVICE )6 0 PROGRESS ENERGY = W.R.E.C. <br /> niPLUMBING IE 1 00 <br /> r1MECHANICAL 18 (.Jj'o I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS r i ROOFING Q SPECIALTY r-] OTHER <br /> FINISHED FLOOR ELEVATIONS I FL000 ZONE AREA nYES NO <br /> BUILDER COMPANY m.2_2_14, 1 _ . �r1► . _. 11 _ .:.. 12 <br /> SIGNATURE .ice . , ,..„ s : _ - ,.. ® c*RRa, <br /> P . <br /> � / & �� <br /> Address 1 al. -! . • T ) i fl //r.9 License, ( 111 ObI/ 3Sll 1 <br /> SIGNATURE C. q M , 1 6 i /())I , � I Cl <br /> Address 1 3 1 S / ' .W� A L ` SIC (J✓� 19 c t License, ( f4 0)/a910 a91() 1 <br /> PLUMBER SIGNATURE /' 4,./ , / :�� REGISTERED I Y / N �� Y / C <br /> Address 1 . _i /0, ' _�. ft'T IS rrtpuc Liicensee, II ) II / r. tI I <br /> SIGNATURE L • � r : �(� qcthic EEC LA E/. I Y/ / c 1 r <br /> Address ' I i9' Otel n Id 7 -hit .) Fi 3341y Lim, Icy OD ( •/3 yLg I <br /> OTHER COMPANY <br /> I <br /> SIGNATURE REGISTERED C Y/ N I FEE cuRREA I Y/ N I <br /> Address 1 I License I I <br /> II III IIIuuI IIIIIIII1II I1I1IIIII,IIII11111I11I11 <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/ Sift Fence installed, <br /> Sanitary Facilities & 1 du npster,, Site Work Permit for subdivisionsAai ge 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) wooing days after submittal date. Required onafte, Construction Plans, Stornwater Plans tin Sift Fence installed, <br /> Sanitary Facilities & 1 dumpater. Site Work Permit for WI 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 <br /> Directlons: <br /> Fill out application completely. <br /> Owner & Contractor sign bads of application, notarized <br /> N over S2500,1 Notlu of Commencement is required. (NC upgrades over $7600) <br /> •' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing sane <br /> OVER THE COUNTER PERMITTING (Front 01 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 />