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813-780.0020 City of Zephyrhills Permit Application Fax-813-780 -0021 <br /> Date Received (b ^ 2,1 - \ O Phone Contact for P t�q DI , / i - at A • I <br /> 1 1 1 1 1t 1 1 <br /> ° i n n" 1 1 1 p- 2 G 7 <br /> Owners Name I Owner Phone Number 0 �. ") ' n S" I O IR <br /> 1 <br /> Fee S"-i,'e nn.ti, r.w N..... 0 A- n wri . r ot leirneer 1 <br /> I I <br /> Fee Simple Tnef.I..uw.. A�!!ess <br /> JOB ADDRESS 1 3 e_ N■ IN how Pci . 1 LOT, 1 10 I 1 <br /> SUBDMSION PARCEL ID. 2 - 2.6. 2_I • bU .JV • WOO () ' 01 cc <br /> J <br /> ronraiern rem PRAPFI TV Tey Nr1TMF1 <br /> WORK PROPOSED pr NEW CONSTR II ADD/ALT 1 1 SIGN Q n DEMOLISH <br /> INSTALL II REPAIR <br /> PROPOSED USE ©-- SFR Q COMM r i OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK El FRAME I STEEL i 1 (}1^" Vr �1 <br /> DESCRIPTION OF WORK 1 �)( I <br /> BUILDING SIZE 1 I 7.2 l( 1 1 SO FOOTAGE 13 ) 1 HEIGHT 1 / I <br /> I�WtDING IS +� j L` j be t9 1 VALUATION OF TOTAL CONSTRUCTION ION : i <br /> FILECTRICAL IS 1 AMP SERVICE r7( ENERGY W.R.E.C. <br /> i1MBING <br /> CHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> rIGAS I OOFING (—I SPECIALTY (- OTHER <br /> FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA rThEs . NO <br /> 1 1 1 <br /> ! / la • 1L <br /> SIGNATURE 4 IS 116/M1 FEE CURREn I <br /> Address y( IVW Le3rd Flue_ JakWU 7,FL Liosnse # 1 B \bd VI tS (o <br /> E LEC7RKgl1N I L T �^ COM I U SIGNATURE �J /� Q� REGIS I 11 Y) N 1 FEE CURR ���� <br /> Address ( l S 1 l l rc dmo id r• " � c' /�C' V License it ( C�t C)1 Zi l b I <br /> PLUMBER „ I .. , g� t , 1 COMPANY t /�J e obi ■ O �/ <br /> SIGNATURE (� ®� !/ � � /� ' y — Q� p REGIS r ttitID �j 10 N FEE CURREn r� ©/N <br /> Address I [ fi /i"e Ge' 3/d / / l/` 7 lr License # 11-1 (U -'E ( b <br /> MECHANICAL I C % /�GY� C �_ I COMP/WY .1� S A SIGNATURE Address n REGISTERED O N FEE CURRER /� lip <br /> Adss LL te i AN' hi// I //"u ' License* mao-t 9 3C1 Li g <br /> OTHER COMPANY I I <br /> SIGNATURE REGISTERED 1 Y / N <br /> 1 FEE CtRMEn I Y! N 1 <br /> Address 1 1 License r I 1 <br /> II IItIttI 111 1111111 tiittl 11 1111111111111111111t11111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buidig Plans; (1) set of Energy Forams; R-O -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required omits, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Fatalities & 1 dunpster, 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 data Required onsite, Construction Plans, Stormwater Plans w/ Sift Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new protects. 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 $2600, a Nonce of Commencement Is required (AIC upgrades over $7800) <br /> "" AAent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from twrner 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 roedways..needs ROW <br />