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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Received p��Contact for Permfttin _ <br /> Owners Name COX THEODORE W Owner Phone Number <br /> 7396 POORE RD <br /> CONNEAUT OH 44030-3146 � <br /> OwnePs Address _ _ _ _ _ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Sfmple Titleholder Addmss � <br /> JOB ADDRESS 6013 RIDGEWAY DR 'I i �� <br /> ZEPHYRHILLS FL 33542 �� �oT* <br /> SUBDIVISION [ � PARCEL ID# 03-26-21-0130-00000-0550 <br /> (OBTAtNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN Q �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER [-- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> r <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE �- SQ FOOTAGE I '.�1I3 � HEI6HT �] <br /> OBUILDING $ � ���t,.�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ I� ') ��� � � � � 3� I � <br /> � � <br /> OMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> �GAS 4 ROOFING Q SPECIALTY [� OTHER � � � <br /> FINISHEO FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO ��7 l <br /> `� - <br /> � .- � <br /> BUILDE COMPANY f ��,_,,,�. 1 �sr .��, ' ,r-, �� i <br /> SIGN URE � REGISTERED Y/ N, FEE CURRE� Y/N <br /> Address �'C;yC- C 1 ��1� � '� ''` r <br /> �' J _� �`-� � Ucense# L��, C_ ��°.�c'J> 1 3 �-� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)working days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaGlitles&1 dumpster;Site Work PeRnit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Buflding 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 8 1 dumpster.Site Work Permit for all new projects.AII commerc(al 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 52500,a Notice of Commencement ia required. (A/C upgrades over=7500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERM TT�Cy`,,a,, plfcaUon Only) a�.,,. <br /> Reroofs if rs Service Upgrad A/C Fences(PIoVSurvey/Footage) £��'°'� <br /> Driv y�-►�ot over Counter if bii'�ubli�C��k A needs ROW : <br /> , ' . �* <br /> �.�; "� ' � ' <br /> . � <br /> -,»r- '�+r-�"'�p°'"`�lw`"'�""n"K""M�`r' <br />