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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 r0 r �" <br /> • <br /> Building Department tir-A- 2--L i C <br /> Date Received 0 . - / Z7 31 9 J C ' -- 9 (s "([ / <br /> Phone Contact for PertnlCln • �i- A C. <br /> Owner's Name � p 1MR� y g aim MA, i L (} /� 1 Owner Phone Number fJ / _933 6 f <br /> Owner's Address 3 624 _ / /v 4b AG 4 Ln / r �i�'Fi Owner Phone Number pf/t 0 2 1!J <br /> Fee Simple Titleholder Name SA M •� Owner Phone Number <br /> Fee Simple Titleholder Address SA t / e / <br /> O <br /> JOB ADDRESS 7749'0 (/7 ' G` . - ( t /J 2 Cp1iV/ AbL /s H. LOT# 1 / <br /> SUBDIVISION 1a E.}p/"Ty4 l(7Wnf:4 T PARCELID# 35'-25-2-1 -013o - o'coft - - // a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) — <br /> WORK PROPOSED L NEW CONSTR ADD/ALT SIGN n DEMOLISH <br /> H INSTALL REPAIR <br /> PROPOSED USE I I SFR 0 COMM 1 I OTHER I I <br /> TYPE OF CONSTRUCTION n I BLOCK I FRAME I STEEL I-1 I <br /> DESCRIPTION OF WORK rACe t C.14 4 #75. i - Tr! bfA t 1.44 -.. 0 ) 1 COX- <br /> BUILDING SIZE 11 Pk) ) SQ FOOTAGE HEIGHT <br /> 1BUILDWG $3 v a8jr'(2 �-/'., VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ c/c/ AMP SERVICE 1 I PROGRESS ENERGY = W R.E.C. <br /> I 'PLUMBING $ <br /> I 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> T GAS I ROOFING 1 SPECIALTY I i OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTER�� I Y/ N I FEE CURREN I Y/ NI I <br /> Address y License* <br /> ELECTRICIAN mr / / , m / } � v p <br /> SIGNATURE �� / / OMPANY f Pw L L R,G °V/ C- <br /> � � � ISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address .Ni — 7 0 e(1 O <br /> License* 1 EC b y /S y <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y 1 N I <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGITED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address I <br /> 1C License # <br /> OTHER VS <br /> COMPANY 5 1 C 7 oiQ- , <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN Y 1 N <br /> I I <br /> Address 79 f(1614- , A.14.=. azy, erM I$ ,f•439a- License# I (6c or a6 7 j <br /> 11111111111111111111111111111111 11111 111111111111111111111111111111 <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, Stomiwater 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, Stonmweter 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 /> ... •.••••••••••••1••1 1 1•••1•• <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. (NC upgrades over $7500) <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 if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />