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813 -780 -0020 9 "J I City of Zephyrhills Permit Application Fax - 813-780 -OO21l <br /> l Building Department <br /> Date Received 9' ft = 7.2 <br /> Phone Contact for Permlttirtg . / .. <br /> Owner's Name LCJ,/4 dSn/ Z c y , e,<<es . A. e_ Owner Phone Number fa' 7r • Q 7 // <br /> Owner's Address 7055 6.tLL&CD Owner Phone Number <br /> Fee Simple Titleholder Name /I Owner Phone Number ,= <br /> Fee Simple Titleholder Address NW ; Li ( e ,i r / <br /> � &i i , r IV r^ <br /> JOB ADDRESS L •iIti 1 L £C 'l CI,O Z S 7 /,€,Ae4 ` , fj-ry/ LOT # Li <br /> SUBDIVISION <br /> PARCEL ID# Qae s U ' 0o O - 00 . 2 © <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 1 , ADD /ALT =11 SIGN X MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR [ COMM 12 OTHER <br /> TYPE OF CONSTRUCTION n BLOCK h FRAME =II STEEL n OTHER 1 4,1 S./ <br /> DESCRIPTION OF WORK �r�� e6- <br /> , L r77A/C- 6 dc/.✓v > 6r/ Zci, v/ E - /S l: ( r _ f6- <br /> BUILDING SIZE SQ FOOTAGE l o HEIGHT <br /> fitowatttiNkagmffittmitEtwftwwwwwwwwwwwmgmfflumwwwwwwwwnimmitoffilmaw mamma <br /> IX BUILDING $ / ed Ctt VALUATION OF TOTAL, CONSTRUCTION <br /> X I ELECTRICAL $ /661 AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> I PLUMBING $ <br /> n MECHANICAL $ VALIDATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING [--`1 SPECIALTY 1::::1I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES f NO <br /> " . . SIONOINNW <br /> MI wn <br /> l /iv* dTd� 06^/ -t t �'3/6 I <br /> BUILDER t i COMPANY 7-- <br /> SIGNATURE igi vii REGISTERED all FEE CURRENT a N <br /> Address i + 0 L <br /> / 03/ � n License # ,e a 0006 I <br /> ELECTRICIAN / i i / ' ��� \ COMPANY I /ti, ,--7e , 5/6 J � L`37d'/ (� <br /> (I) ` j 1 REGISTERED QJm FEE CURRENT LT1 r <br /> SIGNATURE <br /> Address d, ,-/ / r si'"Cdr 7 License # e )05 -71 PLUMBER r COMPANY <br /> SIGNATURE <br /> REGISTERED 1 Y/ N 1 FEE CURRENT i Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address r License # <br /> r- <br /> COMPANY <br /> SIGNATURE R EGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N I -- <br /> _ <br /> Address r License # <br /> 6 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) setsof Building Plans; (1) set of Energy Forma; R -O -W Permit for new construction, <br /> Minimum ten (10) working Os after submittal date. Required onsllte, Construction Plans, Stormwater Plans w/ Silt Fence instsll #d, <br /> Sanitary Facilities & 1 dumpter, Site Work Permit for subdivisions /largq projects <br /> COMMERCIAL Attach (3) complete sets of tuilding Plans plus a Life Safety Page; (1) slit of Energy Forms. R -O -W Permit for new construction. <br /> Minimum ten (10) working Qys after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence instslllad, <br /> Sanitary Facilities & 1 dumster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineend Plans. <br /> * ** *PROPERTY SURVEYequired for all NEW construction. <br /> j <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of applicatio, notarized <br /> If over $2500, a Notice of Conmmencemet is required. (A/C upgrades over $5000) <br /> ** Agent (for the contractor) or Power of Attoley (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Frot of Application Oily) <br /> Reroofs Sewers Service tjgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public aadways..needs ROW <br />