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fi <br /> r� <br /> ` -C,� <br /> '11 4 ��, <br /> 813 - 780 -0020 City of Zephyrhills Permit Application 1. Fax - 813-700.0021 (�, <br /> Building Department — �j r v �Gt/ W Z' <br /> Date Received q I 71 ( u Phone Contact for Permtttin ■ gip rtar _ is <br /> . «,.:...:. <br /> Owner's Name tom" 6 I" (, LL, C. Owner Phone Number ,So (4 ... C <br /> Owner's Address I r ( j� Q �C. l „S S't�l -SJ 4 Pl 11 <br /> all i Owner Phone Number I <br /> Fee Simple Titleholder Name' i, I Owner Phone Number I <br /> Fee Simple Titleholder Address I S' <br /> JOB ADDRESS 1 (oR2 0—IAA.— !( " i OS- I LOT* <br /> SUBDIVISION I 1 PARCEL ID#I t x"O'l,ll'ry'■ ._ , t _S 6-- jt3g <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED M NEW CONSTR ADD /ALT n SIGN = MOVE _J DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER 1 <br /> TYPE OF CONSTRUCTION � BLOCK n FRAME ", = STEEL = OTHER r <br /> DESCRIPTION OF WORK 1 - �I�, At-x--c-7- <br /> t,.�j 0/5 1 4 -01/4k J r^ RA- 1-` l�„i1. u — / L 7/D � <br /> BUILDING SIZE I �'(Q SQ FOOTAGE "1C_. HEIGHT I I O fr " ^ 3 P <br /> r 1',a c y <br /> po BUILDING IS SS U 6 � <br /> - VALUATION OF TOTAL CONSTRUCTION <br /> CEI ELECTRICAL I$ I AMP SERVICE n PROGRESS ENERGY = W.R.E.C. <br /> tSt PLUMBING I$ I � <br /> =� � rAct-4\ <br /> = MECHANICAL I$ I VALUATION OF MECHANICAL INSTALLATION t'1 T -P� ` � <br /> - <br /> I i GAS n ROOFING n n O THER <br /> SPECIALTY � �C <br /> FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA =YES =N a__ <br /> ..: COMPANY I US <br /> ........................................................ ............................... <br /> .................... ............................... <br /> BUILDER ( ` -411-1 ........ 1 <br /> SIGNATURE `ry I REGISTERED l Y/ N l FEE CURRENT Y/ N <br /> /,address [9 0 1t l- P + .f Kil-A F 1.. 7� <br /> / — License# L(7C ISEy0‹:c' — I <br /> 41� ELECTRICIAN I COMPANY <br /> Ai, \ SIGNATUR <br /> ® _1 <br /> dc�s REGISTERED FEE CURRENT Y / N <br /> I License* I <br /> 1 <br /> d <br /> LUMBER COMPANY I 1 <br /> / ✓ ATU I REGISTERED Y/ N FEE CURRENT L Y/ N 1 <br /> C fff Address <br /> License # <br /> ECHANICA I\ I COMPANY <br /> P Ie,� SIGNATUR I Y! N <br /> REGISTERED I <br /> I FEE CURRENT l Y/ N l <br /> 58- Address I 1---- <br /> (� License # <br /> OTHER I COMPANY <br /> J <br /> SIGNATURE <br /> REGISTERED ® FEE CURRENT wpm <br /> Address <br /> J I I <br /> ] <br /> 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 ensile, Construction Plans, Storrnwater Plans w/ Sit 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 /> militrimilmtemomm <br /> Directions: 1 <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 82500, a Notice of Commencement is required. (A/C upgrades over 85000) <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 />