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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813- 780 -0021 <br /> Bolding Department (I 3 <br /> fk Date Received — 2. 1 Phone Cerdact for Permitting 1D1 i l Yk l — 15 1. <br /> Owner's Name KiV,. fC. 115 L-LC. 1 Owner Phone Number $13 • r rS°3• - 15 - 151`R S1 • ,sca Owners Address ,....f... -�� tt / • , , • Z. , _ ( owner Phone Nu Thr <br /> �" Fee Simple Titleholder Name N I Owner Phone Number I <br /> Fee Simple Titleholder Address 1 T — , a , ^ �, .�A <br /> JOB ADDRESS Af) 1 U Vc dexc1' is L ►C� � cte ( ar , � LOT# -y� M <br /> SUBDIVISION MCl C— li Viz S PARCEL ID# I 24- C��Y .7 \ - �. CO `^' . ` l CR D <br /> J (0BTANED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Er NEW CONSTR I ADD/ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 v l SFR I COMM n OTHER I I <br /> TYPE OF CONSTRUCTION n pal down '`^�� L FRAME n STEEL OTHER [ i WI jja 1Ca� <br /> DESCRIPTION OF WORK T p L� l C� W 1l l AX I Y� C- 1 - ( e .l Y 1 1raCe 1 - <br /> BUILDING BIZE / ( 5 1 11 1 4 ‘ I SQ FOOTAGE Li get HEIGHT I <br /> ai BUILDING I$ `/ I (\(� . 1:° VALUATION OF TOTAL CONSTRUCTION �)-1 l ✓L) e <br /> ED,/ ELECTRICAL $ () AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> rV PLUMBING I$ I <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING n SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES �NO <br /> BUILDER COMPANY I[ �ILQ 1-10 bilk_ t tmt Svc . <br /> SIGNATURE _ REGISTERED yT jl j J <br /> Address 14(11 y � 1 new 11)3rrt. fe.- Sep w -rte , Fc.. 42c63 u.$. # 11 N 40 .�1_J <br /> ELECTRICIAN y 7 COMPANY MI lc <br /> SIGNATURE ( t C_. REGISTERED N F �cu RR e t_ N Ij N <br /> Address "Ida 0 ' 1, ' �G �1 P t. " _ 1L_ I l(N ll t License # I E CO _ 10 <br /> PLUMBER /y/ / /II` fi.7 /r �� COMPANY 1 s\er 1 ' 6 Ot Q Sx S. <br /> SIGNATURE / / (�lJ� REGISTERED N I FEE CURRENT / N <br /> Address 1 41441 t� Wi U Prvt .�tx1.ri(,nc{Q r , t- 1 L�n sG <br /> se # I 1 k n��C r3-t <br /> � — � L*.: j J O I <br /> MECHANICAL COMPANY r I 3 F1' <br /> SIGNATURE y`' `' l A -7 -e REGISTERED N FEE CURRENT , Y ` ! N I I , h <br /> Address ( -[Cl 1 n Qcl • .pkkl (hi ll� j �Ll Llc # I G o�- l?)ct( -1. ; <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y 1 N I <br /> Address I 1 License # I <br /> RESIDENTIAL Attach (2) Pbt PIS (2) seta of Building Plans: (1) set cif Energy Farms; R-O-W Pemrt for new construction, <br /> Minimum ten (10) working days after subntital date. Required onsite. Construction Plans, Storrs water Pleas w/ SR Fence installed. <br /> Sanitary Facilities & 1 dunpster. Site Work Permit for ions/large projects <br /> COMMERCIAL Attach (3) complete sets of Budding Plans plus a Life Safety Page; (1) set of Energy Fames. R-O-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required orbits, Conshuctian Plans, Stonnwater Plans wl Sit Fence installed. <br /> Sanitary Facilities & 1 durpstar. Site Wok Permit for all new projects. All commercial requirements must meet ambiance <br /> SIGN PERMIT Math (2) sets of Engineered Plan. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> FM 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 $5009) <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 Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubic roedways..needs ROW <br />