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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department / 11/6 <br /> • -ate Recejvi d 0 /3 �� ' /0 T <br /> Phone Contact for Permittin. <br /> Owner's Name !1(ie..-rLI1 L1.°C <br /> Owner Phone Number <br /> b941 G +(, 5 l Q - 3 to I <br /> Owner's Address Y. .5e.0 4541.2.1 C. ` <br /> L, Owner Phone Number <br /> Fee Simple Titleholder Name 1 1 ( <br /> Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 13Q 8n10 (r N‘ l ^bde 1 LOT # I I (e U <br /> SUBDIVISION I'll(;tl pa KS PARCEL ID #I alp'a1- 30.00OOb- <br /> (OBTAINED PROPERTY TA%NOT�E) DEMOLISH <br /> WORK PROPOSED t_ I NEW CONSTR C ADD /ALT ri SIGN <br /> H INSTALL C REPAIR <br /> PROPOSED USE I SFR 0 COMM in OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK 1 FRAME I I r-�� STEEL n I I <br /> 1 <br /> DESCRIPTION OF WORK � fe V‘ CI „ to d) r t..,F,s c IS ea e- <br /> 5 Tito - r . . 4 41 4 . g 1 <br /> J <br /> BUILDING SIZE � SO FOOTAGE HEIGHT <br /> U ILDIN <br /> I�ap3 51e VALUA ION OF TOTAL CONSTRUCTION <br /> fl ELECTR $ AMP SERVICE n PROGRESS ENERGY <br /> PLUMBING I$ <br /> 1 n MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> i IGAS r ROOFING n SPECIALTY 1 OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA nYES NO <br /> • <br /> BUILDER ( ' • /� <br /> SIGNATURE �A I COMPANY . Tit Lp SO Ill <br /> PE REGISTERED ® FEE CURREK Nam <br /> Address II �r a O` <br /> �a.i ...•a. Licen <br /> �//''/1„ ' 7 siw .. .- .aria. Ak. / <br /> ELECTRICIAN pilrimgkiatinfifor COMPANY r/ � SIGNATURE REGISTERED <br /> FEE CURREI. MUM <br /> Address <br /> License # I <br /> PLUMBER Wir � W COMPANY r���h li, L ii / <br /> SIGNATURE e/� - RE GISTERED <br /> � i® FEE CURREr. MEN <br /> Address �arfi License # I CFc / Y2-6 %(4-t2-- I <br /> MECHANICAL I COMPANY <br /> SIGNATURE REGISTERED y / N <br /> I I FEE CURREK I Y / N I <br /> Address I <br /> license # I <br /> OTHER I I COMPANY <br /> SIGNATURE I <br /> REGISTERED I Y / N I FEE CURREK I <br /> I Y / N <br /> Address I <br /> License 1 <br /> 11II1111111111I1111111111I 1111111111111111111111 # I <br /> t I <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 /> COMMERCIAL Attach (3) complete setp for l <br /> sets of Plans ss p us a Lifee <br /> Safety subdivisions/large <br /> Page; (1) age projects <br /> ge; (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 /> N 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 />