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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department `1 115k( <br /> Date Received Phone Contact for Permitting ' 6%g -- 0),3 D <br /> Owner's Name /--- G Qk A I? 6 0 .19 &Tr Owner Phone Number ol 3 1 - 7a3 - 5 (v <br /> Owner's Address „3 5 1 IA. ) 1:qS FL. 6/.43 f " ../Z /9 () E Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 e 73 S) / LJ) AS. FL v L-- f 2 1 \i t LOT # c2 --] <br /> SUBDIVISION 6LEC /T LO(J PARCEL ID# bo) " aeo -- a 1 - 0 a 66 - 6 DO 6 6 - ' 7 C' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL yL REPAIR <br /> PROPOSED USE n SFR 1 I COMM 1 1 OTHER I ga.5 ibE1 ST C-- <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME 1 1 STEEL I I OTHER 1 ,r m I <br /> DESCRIPTION OF WORK /I / c.- Ci Q 1` 8 OIL/ - 3 - 1 D K ti - 13,5E-ER pe- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL Q ��g l ' ��I COMPANY k 1) �-- D lJ (� q E 66- e' <br /> SIGNATURE ?CJ� t Ldu "� '" '`� REGISTERED ED N FEE CURRENT 4_..I N I <br /> Address 1 &?3 Li f £Th AL ,BL11.b Lk c b FL 1 License # C,4 75,5 I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I Y/ N I <br /> Address License # <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 subdivisions /large 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 /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (NC upgrades over $5000) <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 A/C Fences (PIot/Survey /Footage) <br /> Eqi s.......... „pvi r,,l^,plJtljer jf on public roedways..needs ROW <br /> , <br />