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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Ai 0 /9 <br /> Date Received -1,2, 9 .- / <br /> Phone � s%3 is a -- 0� a_.s <br /> one Contact for Permitting /7 Owner's Name l© M \INA -EA Owner Phone Number 813 (p 1©, <br /> Owner's Address I 403 . 5 CsA 1-f` LO . ) 2- . 4 , I Owner Phone Number <br /> Fee Simple Titleholder Namel ..‘14.,1.4 1 r . ∎cok1„ , 'Z'^(� . I Owner Phone Number <br /> Fee Simple Titleholder Address SA S- + (o. 5 1 C'1:‘ 14- 3" D. ■ 2E9 t{\1 "-I -S 1. 'L • 3. t.f Z <br /> JOB ADDRESS (09J-1 -5 Ca-. - 1.Z,yo, UU F {' LAS LOT # <br /> SUBDIVISION I I PARCEL ID# 03 `210-2-% - oot0 - 0°lao - 001 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I 1 NEW CONSTR ADD /ALT I I SIGN I I MOVE 1 I DEMOLISH <br /> I INSTALL REPAIR <br /> PROPOSED USE I I SFR IcI COMM I I OTHER I <br /> TYPE OF CONSTRUCTION 1X1 BLOCK 1 1 FRAME I><l STEEL I 1 OTHER 1 I <br /> DESCRIPTION OF WORK .bco - EY ri I'C(. C ,p, �e4 q V. FOC I - TE-NK-ItT <br /> BUILDING SIZE ( 1 ilt X 60 <br /> 1 SO FOOTAGE 1 4-40 HEIGHT i 2 <br /> ® BUILDING $ <br /> , elec.. OHO VALUATION OF TOTAL CONSTRUCTION <br /> IX' ELECTRICAL $ a ` Soo . 00 AMP SERVICE >I PROGRESS ENERGY ( I W.R.E.C. <br /> K PLUMBING $ z / / J <br /> 2 <br /> MECHANICAL $ t <br /> 2T� .. VALUATION OF MECHANICAL INSTALLATION ON . <br /> 4" <br /> i .m E <br /> 1 1 GAS I 1 ROOFING 1 SPECIALTY I I OTHER __-/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES L INO <br /> wr <br /> BUILDER 4� <br /> VT <br /> COMPANY �y1 1 �Jr1 Zl�^� a4 r Se- <br /> SIGNATUR REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address 3(0413 54' 4 Z�PtiyQ44tt -i- 33s C <br /> 1 S . ,� �' 1 l License # CC C� .S 1'T�1"Z 1 <br /> SIG LE IAN T O TR� COM MN:till EI- E.t . I ZI�JZ. <br /> REGISTERED 1 Y / N j FEE CURRENT 1 Y/ N 1 <br /> Address t42 1 1Olik STR T C...1y 521‘. ,1,l, r�Li�entzt ) wco 138 `1. PLUMBER P `( v-+� l{ l <br /> SIGNATURE COMPANY - ■` - :. o'1' " " I <br /> REGISTERED l Y/ N J FE CURRENT i Y/ N <br /> Address 510 :. , ; j -t, ZtR ylL111u-,5 e\ 3 License # CC. i 42 5 (o.02. <br /> MECHANICAL 1 4 , S ( COMPANY �aN 4 S A J h <br /> SIGNATURE REGISTERED <br /> ■ ,+. ( Y / N � FEE CURRENT 1 Y 1 N I <br /> Address 1 x(051 US {ausy 3e1 , (A..6.1 . 33525 <br /> 1 License # ' RM oo1$4o4 <br /> OTHER v 1 /j� COMPANY N //. <br /> SIGNATURE t ` �'1 REGISTERED 1 Y / N I FEE CURRENT I Y/ N 1 <br /> Address <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 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 (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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />