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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department , i 0 <br /> , - 5- �'- <br /> Date Received , /e;••• v 6( S5 / Phone Contact for Permitting • D ♦ -- 553) • <br /> Owner's Name NW - R__ I, ‘ 5 LIC . Owner Phone Number $1 J IS <br /> (o9 e (arv■Q) e :* 6310 <br /> Owner's Address e.eyd.(1 �J i1 � ` Owner Phone Number <br /> Fee Simple Titleholder Name MN- Owner Phone Number <br /> Fee Simple Titleholder Address`` ii n 3K 1 <br /> JOB ADDRESS `-i I C n 1 t Peri LOT # 1 ` D <br /> SUBDIVISION Vkar\,C. ( VS PARCEL ID# p(`-t _ )10'0_`' 0t O CONS). O') c <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED j NEW CONSTR ADD /ALT I I SIGN I I 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [7 SFR I I COMM I I OTHER I✓ <br /> � 1 <br /> TYPE OF CONSTRUCTION I , I BLOCK I I FRAME I ,A I ,, STEEL <br /> DESCRIPTION OF WORK C(!(bon V_ �Ud e 1) re.�\Y en' r L <br /> BUILDING SIZE Fit ) X ?) I , SQ FOOTAGE ` q HEIGHT <br /> nifBUILDING $ �,..i (� T� ( -AD VALUATION OF TOTAL CONSTRUCTION 13 ai_.A <br /> (ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY I I W.R.E.C. <br /> PLUMBING $ <br /> I $ VALUATION OF MECHANICAL INSTALLATION <br /> I (GAS 1 1 ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> BUILDER SIGNATURE ,-„.../.."---‘-..-- / � _ R OMP ER D ���e/ N 1"t CURREN (9 / `l�� <br /> Address b MO t4 five_ JP J P .3a:63 3 License # (H 1 ,i,)0 - 1 <br /> ELECTRICIAN �/� //�� COMPANY <br /> Cx �.tec • <br /> SIGNATURE i�' i V ^ ( 0,(.( 1/ 1C.-- REGISTERED I / N I FEE CURREN / N I <br /> � / / �/ / �/ <br /> Address . 61aj4., D1'1 <. paten t K(d Zh( Y� cc, License # lYJ)o<`( LJ <br /> PLUMBER / COMPANY & 1�� 1 I t�b* '�t� 5 c. <br /> SIGNATURE -- 1�.✓ REGISTERED mom FEE CURREN `am <br /> Address 1 -) NI-v tp3rd . J.in.i.J _,IA 9 1 R.,_4266 License # l 10, Jrl D <br /> MECHANICAL J COMPANY R1 SIGNATURE 'I I 1" l / ' REGISTERED N\-6 N I FEE CURREN / N 1 <br /> Address (- 14 1 1 1"HLL4' l Poi ,:_sk (Kai FL License # af""Cl k) ` <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I 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 requ (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 />