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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 r <br /> Building Department <br /> ii it / J 3 1- ( Date Received f /1 L 7 <br /> Phone Contact for Permittin. V , <br /> Owner's Name 1�� irll cf. •r .A Owner Phone Number 7 ( 9922 <br /> Owner's Address 3g-O 'h9r o NWT/ 1 Pi-Owner Phone Number 7 P-- - 9 4 • 1b07 <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> � / //,+,�, r /O►I ]� c1 <br /> JOB ADDRESS 1 60020 GIG IL. ' ?L4 V 22 44.241-000, r✓ .s 2 cLOT # <br /> SUBDIVISION PARCEL ID# I 0 -Z(. -? I4 V - 017...00. 1 D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD /ALT I I SIGN n n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFRi COMM I 1 OTHER <br /> TYPE OF CONSTRUCTION r-i /kJ LJ FRAME r- STEEL te <br /> DESCRIPTION OF WORK -i-#/ -Teti 0 Y? 0 � �D�JA' i i 6 &J / i 1--77 <br /> / y l L6� / k4 <br /> BUILDING SIZE SQ FOOTAGE 0 HEIGHT <br /> nBUILDING IS q, 6 I V ALUATION OF TOTAL CONSTRUCTION`S 1 3 T. 10 0 . 0L ` <br /> n ELECTRICAL ($ I L / O I AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> nPLUMBING I$ `./6-0 ° 1O �' i fl , ► , l _‘-i8� 1 <br /> n ( MECHANICAL $ / A ,� u Qv „O1 VALUATION OF MECHANICAL INSTALLATION CVO 3 S4S '0'4-- ` L I <br /> (�',�� .e€4 sa6S <br /> r GAS I ROOFING Q SPECIALTY I f � - -1 OTHER <br /> Un <br /> FINISHED FLOOR ELEVATIONS • • . • , • r . IMO YES NO ( e_st a_c -1.15 <br /> 111111 1 1.1' 1� • 11''11'11 <br /> • BUII, ,1„0` , COMPANY r- �/ <br /> I.' i /.-Itea/ ' / ' 1 1 _to. t / TOCA ' <br /> SIGNA • : � /r -. GISTERED =UN ■ �i � <br /> ��'��-��� � Q p <br /> / Address 602 ,f.`»1,"�tn?��Jr?► ...! i- i 9'3760 License# C6ee 1 S <br /> AY sicsV -Sr Q+ <br /> _________\) <br /> �PiO v p2) - ` a rk ELECTRICIAN ) 1 ' COMPANY <br /> 1. /JJ SIGNATURE • ""r REGISTERED I Y / N I FEE CURREN 1 Y / N ' <br /> lif ,s ' r <br /> Address License # <br /> s / PLUMBER - , COMPANY <br /> !1 ^ COMPANY <br /> SIGNATURE I REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> i , 6 5- l U �v skin. s, <br /> ^ 2 1 Address _ _ License # <br /> - <br /> MECHANICAL ` s e _ 4 'wir COMPANY P8 r <br /> SIGNATURE REGISTERED MIZE FEE CURREn MEM <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y / N I <br /> Address License # <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1/ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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 subdivisionsAarge 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 /> 1 a 1 <br /> Directions: 1 <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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />