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813 -780 -0020 City of Zephyrhills Permit Application 4 j 1 0 Fax -813- 780 -0021
<br /> Building Department �J, p.�Q /-
<br /> Date Received '7' b ` -t d Phone Contact for Permittin. �� i d/ i_I -- vlitpx
<br /> Owner's Name CA'/ 1 Owner Phone Number 4 I 1 iQ' 57 %'
<br /> Owner's Address ic/' Pxive, luousl ver I• ' Owner Phone Number G
<br /> Fee Simple Titleholder Name FOn } re� wH • Owner Phone Number 4 ' — 5 ffi4
<br /> Fee Simple Titleholder Address e ft) 1- CIS V CI ve w61.60CrQ , r 1 . 02e*
<br /> JOB ADDRESS CV5 6 37g4t V414 131ND �'N'�R.�1u -`7 rL 33 Z. LOT #
<br /> SUBDIVISION ZeVI# N-1Uh coi- " ( (* PARCEL ID# D 3 ^ 4°1- o t v- 6 ` - co$ (.5 Pot o)
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR Il AD I fjp n SIGN I MOVE n DEMOLISH
<br /> INSTALL REPA
<br /> PROPOSED USE n SFR II COMM n OTHER I I
<br /> TYPE OF CONSTRUCTION I I BLOCK
<br /> 7ew� I rG 1 FRAME I STEEL F OTHER I I
<br /> DESCRIPTION OF WORK 1NT IOR- F•rovit N ' % it) T' INCAvi 6 r �� �
<br /> IL, ?fl (WMAG N-(AY
<br /> BUILDING SIZE
<br /> 1 ,,,,,, , , , SQ FOOTAGE I � I 1-2...... �' HEIGHT 22 � • r A ,
<br /> �,n . 20'40 � I ttom
<br /> BUILDING $' 1 141q$39 VALUATION OF TOTAL CONSTRUCT j t'\ 1
<br /> I �"'
<br /> EZI ELECTRICAL I$ I 6 j 000 AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
<br /> PLUMBING $ 16 CEO / (') Ste-' <'
<br /> MECHANICAL $ 3 VALUATION OF MECHANICAL INSTALLATION
<br /> •
<br /> I 1 GAS I ROOFING I I SPECIALTY I—I OTHER 54,tb.S:Aefeei
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA niYES I—I // I
<br /> S
<br /> r
<br /> 4 W Il � u ► f
<br /> I J
<br /> 1 j 1
<br /> BUILDER ( A rm, '� 4 g 1 ' COMPANY mt ,, ' 4 . ,, , _ , # 4 ! ,, / � / n •
<br /> SIGNATURE �/P alit-fix � //�' REGISTERED Y/ N FEE CURRENT /+�Y / N^ ■
<br /> fd
<br /> Address j' /t)IN L ` ?r4.I 41 r t , License# ( 1 I b
<br /> ELECTRICIAN fj G L � _ Q , v COMPANY ! w�QIL) � " � CCM C `
<br /> SIGNATURE �F ' M(.t•f LO REGISTERED I Y / N 1 FEE CURRENT I Y / N 1 O �
<br /> Address (a)( ( aut 75 R.0.4t f cr,, 7 , A- pestil License # 6 - 047/i9 3 7 I/ .
<br /> F".-UMBER I 0 / _ 5t " COMPANY I Ji"' G 1 P�
<br /> , t �(}f111 r. - 0 - ✓4`C .
<br /> SIGNATURE /_.�� _ / 1 i. / REGISTERED 1 Y / N 1 FEE CURRENT I C N I
<br /> Address Ig�� C 1 GA/ C c7�G� R i)! {�iuc-T 1 P . Cr7 FL, License # IL vc.. j4a_
<br /> MECHANICAL !"--77. � 7/ -—_ k, / PcOMPANY tldr -I (/4, � j ,,, L4 it ' e 4j ,
<br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I
<br /> Address I Z • i Coti C i g 4.1T7' A 33si - License # I Z.440 Z.-45,25
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
<br /> Address License #
<br /> KftliftERRESP
<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
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