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. j r_ , C _`( `j <br /> • <br /> 813- 780 -0020 City of Zephyrhills Permit Application Fax - 813 -780 -0021 <br /> Building Department <br /> Date Received t%.- -- Phone Contact for Permittin t -- <br /> Owner's Name r lc!S[ a1:7 II 1e, II 0 . X>rvi � . �r� <br /> Owner Phone Number I 3 (J - ,Z <br /> -3i <br /> Owner's Address ,. 9 1 19 er, ,t .rx r ( l 1 r -if' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 39 O)rti c(otC Cci i r:y47 LOT# <br /> SUBDIVISION Meta doLLZYT (_�i�C PARCELID# 1 3 — a(4,-.01 t — 0140 V _COUCHD - L)) 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR _ ADD /ALT ET SIGN I n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR Q COMM r OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK f <br /> I I FRAME F T STEEL n I y, n- I <br /> DESCRIPTION OF WORK IC ( 1- 1A l • I 4l 'v eW 17 �L� �Y�I L Y{✓ , - - J(SCC7 ( %�t i 1k 1 0I 1 e r <br /> uv► c�G�h - - FnVr� - <br /> BUILDING SIZE SQ FOOTAGE HEIGHT A a F. �liva,o G ID <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION F h w' k. <br /> i'vna <br /> n <br /> t <br /> ELECTRICAL $ „• -^AMP SERVICE TT PROGRESS ENERGY Q W.R.E.C. -+T 1 0 �•(�11(� ` O11 <br /> �� � 00 . �� U � 7l� �1 uL <br /> 1 IPLUMBING $ ` // "� 'It <br /> ECHANICAL $5� O• 0 , \ ...VALUATION OF MECHANICAL INSTALLATION V LA) e�►'�6G'Y•SLr <br /> nGAS n ROOFING I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I NO <br /> 1 " " I I I I " I ' I I 1 1 1 1 ' 1 1 1a " 1' 1 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED ' 1 Y 1 N I y FEE CURRE■ Y / NT _% <br /> Address 1 License# [ <br /> ELECTRICIAN , / COMPANY L 4T L Iec'� ft C - '-- <br /> SIGNATURE ✓ REGISTERED I Y/ N 1 FEE CURREN I Y/ N I � ' /` <br /> Address 50 gvi /e�) L-)()p,/li #�- 1 License# Iec /060-70 0 <br /> t.. 3. ,S� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y 1 N I FEE CURREN I Y/ N I <br /> Address License # II (]/' C_ <br /> , <br /> MECHANICAL COMPANY 1T3t.j(�vie)L `�' �I' V <br /> SIGNATURE � REGISTERED J�1'� N I FEE CURREN I Y / N I <br /> Address S S 1�) u , `� y ,/ �T - ' f C rl_ ��,���sss License # I C. C ( <br /> OA. 1 OC `-' P <br /> , ( <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN, I Y/ N I <br /> Address License # I <br /> 1111111111111111I11111111111111111111111111111111111111111111111111 <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 /> 1 1 1 1 1 '•• 1 1 1 1 1 1 1 •"•• 1 " "" 1 1 1 1" " 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. (A/C upgrades over $7500) <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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />