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813- 780 -0020 City of Zephyrhills Permit Application 4 96% Fax -813- 780 -0021 <br /> Building Department <br /> • <br /> q <br /> Date Received Phone Contact for Permitting I // 3;"? /3 -- 8 / 5 <br /> I I I I I I I I t I I I I t I L Q,� <br /> Owner's Name t /U� - hi/v4 r d CA Owner Phone Number e/3- 355 - -/ 175 <br /> Owner's Address `5 /2 / / / / Z S/ , -/ (z-0/11.,$) Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �^ <br /> JOB ADDRESS 5/2/ 1 917 Sy7Q.E ZL ,� ia , / 0 LOT # <br /> SUBDIVISION : PARCEL ID# 1/ 26 -21-00/0 - 2t' /ao -0060 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM pi OTHER I <br /> TYPE OF CONSTRUCTION BLOCK 1 1 FRAME I 1 STEEL I 1 OTHER I I <br /> DESCRIPTION OF WORK 1M7MfJ� ,4j7704/ i ,P 0 64 Cr' /94-4 <br /> 8`A La, 1Z' X12 3Off f1 Li b'itIG / <br /> BUILDING SIZE f 18 X, y SQ FOOTAGE t HEIGHT 4661 / <br /> 1 VI BUILDING $ vp <br /> '/ 000 — VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> 1 PLUMBING $ <br /> )1 A) 02, i _.,) <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION P <br /> I GAS I I ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES I] NO <br /> BUILDER REGISTERED , COMPANY <br /> SIGNATURE [' � ✓° .. /�/ 4� REGISTERED /k/i4 <br /> / N I FEE CURRENT I Y / N I <br /> Address 5/2 / / g . rn S1?'C ,— Z ft 3,31 51 License # <br /> ELECTRICIAN gem., e �°� � `' o ` '',e-� AIS SIGNATURE COMPANY <br /> �9� 4 J, REGISTERED I Y/ N j FEE CURRENT I Y/ N 1 <br /> Address ( / <br /> //,�� License # <br /> PLUMBER H . epjfi . { <br /> �� e /� 1 COMPANY <br /> SIGNATURE t[ t 6 t,(,�,- REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address i License # i Ate <br /> MECHANICAL COMPANY <br /> SIGNATURE � _ �� REGISTERED I Y / N I FEE CURRENT 1 Y / N I <br /> Address el.5( License # <br /> OTHER et r a IA.) Ai <br /> SIGNATURE 4 1� �� X tAe COMPANY OAP-- <br /> REGISTERED I Y/ N . 1 FEE CURRENT I Y/ N I <br /> / <br /> Address `— License # F <br /> RES IDENTIAL 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 />