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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department D� <br /> Date Received 2- _ I ? 7 7 ( 1 / 6 5 <br /> I Phone Contact for Permitting 't - �p / <br /> Owner's Name G''LC.. 5' i; V . - AO%ef GG „[e< Owner Phone Number <br /> Owner's Address 777 w , Pr,A na,s Ave / Gru,• (.4); <br /> „J 64 , 61.. Owner Phone Number <br /> "I J0 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS i r 3 O Z. citt. 5{ , LOT # <br /> SUBDIVISION PARCEL ID# ( 3 - 2.(o - 2, ( - 01370 - b7 -(00- OOO-O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR X ADD /ALT I 1 SIGN n MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ( SFR 1 J COMM I I OTHER I <br /> TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME n STEEL I I OTHER I <br /> DESCRIPTION OF WORK Jv iotAc goo..., 0A r 014 P.T, Or ei ,r W 4r( k o u ie <br /> BUILDING SIZE SQ FOOTAGE yy g HEIGHT <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 31 000 <br /> 1 1 ELECTRICAL $ AMP SERVICE WI PROGRESS ENERGY n W.R.E.C. <br /> 1 1 PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C fI I GAS I I ROOFING I I SPECIALTY h OTHER K (� , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES I <br /> BUILDER 4 16( V /' I Y / 9) ' COMPANY g, Conat 1t C 4-; Ors of IC� /: �O ; 1yi ( <br /> SIGNATURE ; RE GISTERED <br /> %' N I FEE CURRENT I Y/ N <br /> Address I3” 413 S 2 C4 1 1-14 % 1 License # 1 G gc 1 Co q1 <br /> ELECTRICIAN — A\ U COMPANY 41 -: n el Q c 4r C <br /> SIGNATURE '.� �' _ REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I 7 g1:7 104 Si. i'c.--h2 Ci3y License # a (300 13'3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL 0 i S y� COMPANY cOAAV t f <br /> SIGNATURE i / REGISTERED I Y / N J FEE CURRENT I Y / N I <br /> Address 1 C4 W Y 3Q ( Pa a4 C; Ly License # gm -0 01 ew <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address <br /> 1 License # <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 Attomey (forthe owner) wound be someone with notarized lettelfrom owner autho iaingsarne <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> >• klr. .� ,.. . <br /> Reroofs Sewers Service Upgrades ' A/C . Fg�ces (Plot/Survey /Footage) `. <br /> Driveways -Not over Counter if on public roadways.. needs ROW - ' ' ` s <br />