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813-780-0020 City of Zephyrhills Permit Application Fax -813 - 780-0021 <br /> Building Department 2 .1* Dais Revived .1001M. Pharre Contact for Permitting 1 i r1 ! - % I <br /> 1 1 1 1 1 i 1 a 1 1 1 1 1 <br /> Owner's Name IMINIMMINIMI Owner Phone Number (] (, J' 1g <br /> owner's it 'tt <br /> r's Address ;L. . � owns Phone Numbs <br /> F.. Simple TIdehorder Nene IMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Owner Pharos Number I I <br /> Fee Simple Titleholder Address 1 - - , ` , • utt , al 1 I <br /> JOB ADDRESS 13S1 14, Law V( v cl . I LOT* I 4 p O J <br /> SUBDIVISION [MA,PiC b04 PARCEL loo I Z4 - 21)• 21- 0000. cx) t O (J - t-;cf <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Er NEW CONSTR 1 ADD/ALT r—i SIGN J Q DEMOLISH <br /> INSTALL C REPAIR <br /> PROPOSED USE SFR Q COMM (—'-1 OTHER I I <br /> TYPE OF CONSTRUCTION n p, BLOOCK QJ"� D FRAME p fl STEEL fl�%' d.fMI <br /> DESCRIPTION OF WORK 1 . ._. W w1 i oar e. MlJlJt I <br /> BUILDING SIZE 1 1 2 1 1 I I SCI FOOTAGE Ij11 HEIGHT I I <br /> [ :3;tfUILDING $ 1 1)0 ` (/t) VALUATION OF TOTAL CONSTRUCTION 'i , 00 <br /> r ECTRICAL Is '� 1!V I AMP SERVICE 1 ---- "* ". PROGRESS ENERGY Q W.R.E.C. <br /> E PCtMABING E <br /> CWWICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY r1 OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES illp <br /> ^ BUILDER ' .1 : ; ; _ j� C> COMPANY I C. � N C J� �X �L ON�Q I <br /> SIG J i /� LLL <br /> REGISTERED I N FEE CURREN �lrj/ N I <br /> Address .e t 0 � 1 _ ' ■ d _ 3 - • -' License * Ill -4 ( 0252 Lo 1 <br /> ELECTRICIAN �' /// / / ,�, / e ig // COMPANY 146414-0-U ale c c <br /> SIGNATURE f � (� (GJ� E � -' REGISTERED 1 N 1 FEE CURREn / Y1/ ... 1u <br /> Address t 1 (TI 's fl1 d C_m lC► . Z i ,. /Lice n nsee0I COI�i(a I <br /> PLUMBER ,i ` �-f��. COMPANY 1 �.. St.e T" Wb l <br /> I CrJ'Y Q�� ( <br /> SIGNATURE REGISTERED / N I FEE CURRE / N <br /> Address 1404') 00 103rd License* 111 to <br /> MECHANICAL I / I <br /> SIGNATURE ` / 4, .. REGISTERED Y N F CUR ! N <br /> Address OREILIMIMIIIIMIN. MI License* Je ' g <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRE. 1 Y/ N I <br /> Address I 1 License* I 1 <br /> 1111111111111111111 11111 111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Perk 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 durnpster, Site Work Permit for projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Perk for new construction. <br /> Minimum ten (10) waking days after submittal dale. Required onaile, Construction Plans, Stormweter Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Perk 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 /> Fit out application cornpistay. <br /> Owner & Contractor Sign back of appfication, notarized <br /> If over $2500. a Notice of Commencement Is required. (NC upgrades over $7800) <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 Ony) <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 />