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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021
<br /> Building Department
<br /> Date Received /‘.2 - / 0 Phone Contact for Permittin, . / 4 33 - 772.e
<br /> Owner's Name ,4 7 atioe0e 2 Owner Phone Number 3 - 6 - W
<br /> Owner's Address 3'75 3..... Z o/c E, 0 21 Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS 3 40 CA" LOT #
<br /> SUBDIVISION 6/7 Nve/ ZO4) -S PARCEL ID# 3Y - a S -a/ - 0090 -- GbOcW '1350
<br /> _ (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR n ADD /ALT 1 1 SIGN 1 n DEMOLISH
<br /> INSTALL I I PM
<br /> PROPOSED USE PZI SFR I I COMM 1 1 OTHER 1
<br /> TYPE OF CONSTRUCTION I I BLOCK fl FRAME 1 1 STEEL n I m 0,5 /C /1 C'M
<br /> DESCRIPTION OF WORK / f 0i A 4/O i'e - ROOF *t ea/ C r'_ �/t9 tie RQ " 4 / , ' y e-
<br /> � a�,
<br /> , �,,
<br /> BUILDING SIZE SQ FOOTAGE /4 HEIGHT
<br /> I (BUILDING $ 352,0412 VALUATION OF TOTAL CONSTRUCTION
<br /> 1 (ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 W.R.E.C.
<br /> J :
<br /> I PLUMBING $
<br /> 1 ]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION___ __
<br /> nGAS 12ga ROOFIN2 n SPECIALTY 1 1 OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1' (YES NO
<br /> BUILDER COMPANY
<br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I
<br /> Address I License # I
<br /> ELECTRICIAN COMPANY
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1
<br /> Address I License # I
<br /> PLUMBER COMPANY
<br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N I
<br /> Address License # I
<br /> MECHANICAL COMPANY
<br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I
<br /> Address I License # I I
<br /> OTHER 2r://44--64 ic �N 4por COMPANY ���% C% �� / 41 0 /4/6
<br /> SIGNATURE {{ /� q / REGISTERED I CA N I FEE CURREN I Y/ N I
<br /> Address J 1 2 O $4-aie Kd •5 G-t /h.'`f F1, Sy.Z License # I CC C 0 4/93 76
<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 required. (A/C upgrades over $7500)
<br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (Front of Application Only)
<br /> - - • • • i • • 1 - , . - e • ic; Upgrades NC Fences (Plot/Survey /Foolgo „,„,...,,,,,..„,,,,,,,,,,, ,
<br /> litAlkvelitll$ Ngt,goe(Sgygyinteet- i 1 i. roadways needs ROW ,
<br /> &TV.. =" vehi , s= qs.I .. ,o:,) :'.$ J . 1 .4'' .
<br /> S2?e'B 00' tai , r ,,
<br /> 4 'et - 4 . YSGIC.A t6M11, . v
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