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813 - 780 -0020 City of Zephyrhills Permit Application Fsx- 813- 730-0021 <br /> Building Departrtlent 31 <br /> 1 . 4 0 1 I Date Received ^ 3a -AO Phone Contact for Pormitti <br /> Owners Name zy 4y,( (i A4 /V f LIZ Owner Phone !number <br /> I O /t r fi r. Ida FL� 1_1/7 '3 57? 66 S ! <br /> Owner's Address � � O wner P hone N umber � <br /> Fee Simple Titleholder Name 1 24. 1ir / ' aVelh » LC c 1 Owner Phone Nranber L I <br /> Fee simple rueholder y __.: ?Pi , /4.9-04z-,9 AI , Ti¢4f ' a Ana <br /> JOB ADDRESS 7 " � -" �� G- ) 1 6 1 u d <br /> LOT # <br /> SUBDIVISION . i# <br /> PARCEL 1001 <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW coNSTR 8 ADD/ALT u SIGN Q ® DEMOLISH <br /> INSTALL REPAIR <br /> r <br /> PROPOSED USE l t SFR n COMM 1 OTHER 1 .1 <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 1 ---- 1 STEEL = 1 <br /> DESCRIPTION OF ORK U 771i U.It sine(.(, tevN�,>p t/r - SSys �3UR33,p R-& 1 l ^ <br /> w <br /> BUILDING SIZE I SO FOOTAt E I Z G P HEIGHT i 1 ■...__. <br /> = BUILDING <br /> 1415, D Q Q • 04 ALGA ,s,. : OTAL CONSTRUCTION <br /> { ELECTRICAL <br /> $12 OoO.O • AMP SERVICE rj PROGRESS ENERGY Q W.R.E.C. <br /> nPLUMBING 1 et, o °e •de <br /> =MECHANICAL 1$ 1 5 o c . • 1 VALUATION OF MECHANICAL INSTALLATION <br /> nGAS F ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BU ILDER COMPAkYr ' t✓ C U 5} r u C f 1 O PJ 7L <br /> REGISTERED PEE CURREN <br /> r <br /> Address 12 16 0 S. Q. 54 int 1 1 Licera.e it 1 C 6 6 t t 812 r T <br /> ELECTRICIAN �� zo rt.(/r "' L2 �„r COMPANY �� IAo C7sa A�SLj($ 7T ac V <br /> SIGNATURE L REGISTERED 1 ®1 N f FEE CURREN a J l <br /> Address 1 L 1c ,r n' t kelt �� coo 3413 tr us...4# { Eci3 /149 1 <br /> x� SKINATURE � '., __ COMPANY ny /t0.0�,/Vjf �...I( <br /> L• __ REGISTERED Y/ N FEE cud x iN <br /> 410 Address , iz. t iAft I . - _ r4. 3)4 8 Lianas Nf C 1' C O I q 11 4 = <br /> MECHANICAL 1 � / COMPAQ. + / 1c / e / c <br /> SIGNATURE E - O'a" ; s _ .� � <br /> REGISTERED riier� FEE CURREN W <br /> Address I,3732s- /C ix* ed. Z--iv 05 1 License G AC 18 l37b�' f <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED 1 V 1 N l FEE CURREN I Y/ N ) <br /> Address 1 1 License >>: 1 <br /> 111111111111111111111111111111111 1111111111111111111111111 <br /> RESIDENTIAL Attach (2) P1 t Plans; (2) sots of Building Plans; (1) sot of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onelte, Construction Plans, Stnwster Plans wf SB Fence instated, <br /> Sanitary Facilities d 1 dumpstar; Site Work Permit for aubdIviabnaflarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plane plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum tan (10) working days after submittal data, Required omits, Construction Plans, Stommafer plans %N Sit Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for ail new peered". All commercial requirements Waist meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "PROPERTY SURVEY required for all NEW consWcaon. <br /> Directions: <br /> Fin out application completely. <br /> Owner $ Contractor sign bock of application, notarised <br /> If over $2500, a Notice of Commencement Is required. (A/C upgrades over S7500) <br /> `• Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing acme <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Roroots if shingles Sowers Son4co Upgrades NC Fences (Plot/Survay /Pootsga) <br /> Driveways -Not over Counter if on pubic roadways..neede ROW <br />