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813 -78o -0020 City of Zephyrhills Permit Application: Fax - 813-780 -0021
<br /> Building Department
<br /> Date Received
<br /> Phone Contact for Permitting ,^ • II e:
<br /> it
<br /> Owner's Name 3 rhjariftiy I @'TI -7�R - l4O
<br /> Owner Phone Number
<br /> Owner's Address '����d �r. 1
<br /> tthinbcsivirLawientiv_ 7°) �j Owner Phone Number
<br /> Fee Simple Titleholder Name(
<br /> Owner Phone Number
<br /> Fee Simple Titleholder Address I
<br /> JOB ADDRESS I .fi
<br /> � LOT#
<br /> SUBDIVISION IFS it I PARCEL ID# I V3 -�- 01 00- �.�- 00 Tv I
<br /> '��(� (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED I I NEW CONSTR r r•-". 1 ADD /ALT [] SIGN I 1 MOVE I I DEMOLISH
<br /> INSTALL C I REPAIR
<br /> PROPOSED USE I SFR [n COMM I i OTHER I
<br /> TYPE OF CONSTRUCTION I. - 1 BLOCK [ 1 FRAME I I STEEL
<br /> �^. I I OTHER I I
<br /> DESCRIPTION OF WORK I✓ep1C I9 Walr k . site - t:;47,0, BUILDING SIZE I _ � I SO FOOTAGE
<br /> . ,;( � .- , -_ HEIGHT I
<br /> < . ..a u,v ,::. i cre:kre. - :gmon "'1 m.:.:,;.o:i813iEi ?IP:tl,a! +iii f - vou,r t ,,,(,ie:,Ni
<br /> BUILDING I$ LI-5a�
<br /> � oo 1 VALUATION OF TOTAL CONSTRUCTION
<br /> I 1 ELECTRICAL I SERVICE $ I AMP S 1 1 PROGRESS ENERGY 1 1 W.R. E. C.
<br /> I 1 PLUMBING I$
<br /> I 1 MECHANICAL I$ I VALUATION OF MECHANICAL INSTALLATION
<br /> I I GAS I 1 ROOFING = SPECIALTY I I OTHER
<br /> FINISHED FLOOR ELEVATIONS ,�;�y 1 FLOOD ZONE AREA
<br /> _. , .9U °` � ♦ . ettlt!! : +I: n 11!!!EIt it?.em?a €?ti!niSinl.!l,MP.i p • ..-. I ! �?. n? rtt ,h.I::nL�??;te ?:eiRlRtlr.i?,I:: 'snl.. t
<br /> BUILDER ✓ ,, vim I + r
<br /> SIGNATURE COMPANY / Q � `� � > � ?v'
<br /> C
<br /> REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I
<br /> Address I ICTr O 6g
<br /> License # l___ JS
<br /> ELECTRICIAN I I COMPANY I
<br /> SIGNATURE
<br /> REGISTERED - I Y/ N 1 FEE CURRENT I Y/N I
<br /> Address 1 I I
<br /> License # I
<br /> PLUMBER I I COMPANY I
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I
<br /> Address I
<br /> 1
<br /> License # I
<br /> MECHANICAL I I
<br /> SIGNATURE I COMPANY
<br /> REGISTERED 1 Y/ N 1 FEE CURRENT I Y/N 1
<br /> Address I I t
<br /> License #
<br /> OTHER I
<br /> SIGNATURE COMPANY I
<br /> REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1
<br /> Address I
<br /> License
<br /> RESIDENTIAL Attach (2) Plot Plans: (2) s et s of Bui ilding Plans; ( a - 1) set :::.::::::= of Energ o rm s : �a; ::'' ...:p;:: aa'..'.r �.,u,.:..ne,,:ui ne. . u :....:.,.a�a.u.d::,.n... ,.,
<br /> O etc of Building 1) set of Energ Form "„��' .. ,:., `'•,��
<br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
<br /> COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
<br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities 8 1 dumpster
<br /> All commercial requirements must meet compliance.
<br /> SIGN PERMIT Attach (2) sets of Engineered Plans.
<br /> "'PROPERTY SURVEY required for all NEW
<br /> ii:!it:... .:aH'., ,1P;y ? ?;ii! construction.
<br /> Directions: --- i ,IIIIIIIa eI,41° ,:i Ll,.• :, , 'iFlII. Eti -h 4: 1 i I ! I i
<br /> -
<br /> Fill out application completely . - :•:- Si::tlai ?!;9ltt,l,,,,li3,:;l1; ?, ,.,
<br /> Owner It 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 carne
<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
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