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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department ik gJ <br /> Date Received - l' -( S I Phone Contact for Permitting -- <br /> Owner's Name , iRx •9y4 , Owner Phone Number <br /> 7/6 2 RQAp/A! G Ka( ' 7 3 0 <br /> Owner's Address am/ alto A/,9'71, e)fJ 4/5:-7 3 7 Owner Phone Number ,/ <br /> Fee Simple Titleholder Name Z •h -C.- Owner Phone Number KY 788 -T ei2 <br /> Fee Simple Titleholder Addr 7 /6 2 EAP,4 G Rel. X7.3 2 6A/Cm/14 AI !, 0, / y,Si737 <br /> JOB ADDRESS Az 4 412.0 ZEPA J/t 45 , C2 3354/.2 LOT # 3 <br /> SUBDIVISION etn y, � /1RS 6 R D ✓F PARCEL ID# �a �� 'a/"�d�0'orZ -Ob_3® <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR KS ADD /ALT 1 I SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL Y REPAIR <br /> PROPOSED USE 1 1 SFR f J COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 I FRAME ki STEEL 1 OTHER I I <br /> DESCRIPTION OF WORK c- RQ M\ �C 121' ' - p O C57P -�1 -Q / 2-3i( Z ( IL <br /> BUILDING SIZE ‘ Z) G SQ FOOTAGE HEIGHT <br /> I BUILDING $ ' I c�J <br /> "f V VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> I 1 PLUMBING $ 0 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION NS <br /> I 1 ROOFING I 1 <br /> 1 1 GAS SPECIALTY OTHER . <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES QNO <br /> BUILDER M T �� COMPANY - 57576 <br /> SIGNATURE -- -- !REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address q License # CR C o5e5 /7 <br /> ELECTRICIAN A r 5 r COMPANY <br /> WO6 ku-c Z <br /> SIGNATURE / REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address 1'+ License # Ea_ O 0 t Z. 2 5 <br /> ( c (� <br /> PLUMBER % i 7 < COMPANY �O , 0.•T (L-- i4________ <br /> SIGNATURE 4 0 2 -......, / REGISTERED I Y / FEE CURRENT I Y / N I <br /> Address �v License # (df 1.440 I S <br /> t <br /> — `'1 ` due- - k - RO': l k.k Dz.' <br /> MECHANICAL !I 7 COMPANY <br /> SIGNATURE f 7 // 3 <br /> REGISTERED t' I Y / N 1 FEE CURRENT IC-10/ N 1 q / <br /> Address y / f4/ /' . N /L-( 0 ` f - /�/-� 31 �- ' License # CA CO A� L 6- < j/ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # F <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 />