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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department — 4 t 0, <br /> Date Received <br /> 9-1 7 phone Contact for Permitting L > / 0 <br /> -- 7�5 `( <br /> Owner's Name Z - \ N . � ... - - I-lb <br /> ) Owner Phone Numbe ` <br /> Owner's Address 3 ` ` t �0. 1ktAN `I0.1% ` 0 o ik� "I 1 t Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address q <br /> JOB ADDRESS 773 4: . 411 A' I LOT # <br /> SUBDIVISION - — PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Fil NEW CONSTR ADD /ALT I I SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I� I COMM 11 OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME r STEEL IN OTHER I <br /> DESCRIPTION OF WORK t S ���` p .7-14101111.11311 i• �� -I S 9I t <br /> \ _ _ <br /> BUILDING SIZE SQ FOOTAGE / Z.6 6 HEIGHT <br /> • I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> •20 0 <br /> I I ELECTRICAL $ AMP SERVICE (Zpey PROGRESS ENERGY ' N 1 W.R.E.C. <br /> S ev0 <br /> 1 I PLUMBING $ G c <br /> 4 bog ( `fi r <br /> MECHANICAL $ .7 O v VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER (J en J j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES LINO � J <br /> r <br /> s 0A- <br /> BUILDER \ COMPANY <br /> �, ` C b -ham <br /> ` 1 Ty► M� <br /> SIGNATURE - ± '' k -, � C``' REGISTERED 1 Y / N I FEE CURRENT Y / N <br /> Address o f /A I WN,1 °v.1L.- ia . —Vow t S� 742 License # ti /-? 4 7.23y <br /> SIGNATURE . 4 ( j 4 jr , s! , , p , R OMP A N D I Y/ N 1 FEE CURRENT I Y / N <br /> Address CO License # <br /> PLUMBER dah,_ V COMPANY Re'l T. Sc.:Verna. .4i.,A� / . tC' • / ��` . ,...`mil <br /> SIGNATURE 1 REGISTERED I Y / N 1 FEE CURRENT Y / N <br /> Address `PS 13 7e 4zi4C Z../..4Z, i. 3355/ License # <br /> MECHANICAL D r J COMPANY �A60 s0/€4 ,l� �t 2 $ y"S �;z <br /> SIGNATURE T IC J� v REGISTERED I N I FEE CURRENT I N I <br /> Address 373 /�v5 - / /�Q Z -� I �l s ` - , License # C A c 1813 / 8 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address 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 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 /> tics,? lo 4e, .l� „4 ', � <br /> el L \ <br /> , - Ss& . <br />