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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received Jr — - n <br /> Phone Contact for Permitting -- A'' <br /> A - - <br /> Owner's Name 1 1,1,4 t IL L GLl�!l6fiJ /' <br /> . Owner Phone Number riffirM » <br /> Owner's Address 656; $ �X� s k h If 1 , 7 s / 4if ' O Owner Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / ,,+ �J [- <br /> JOB ADDRESS J / l C am' l t'c'._ (-K / zc'%J 4 Z / / /s FL J C/ D LOT # <br /> SUBDIVISION Z � /✓ Tc. 4 J / ,� % 2-c' 6 PARCEL ID# / �' -, *C� Oe7; - -GY3,� 0 <br /> 6//r a 4'6 J A PG 5-7-2 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT JJ SIGN 1 1 MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM I I OTHER I l -f, tl 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 I FRAME I I STEEL 11 OTH& 1 1 <br /> DESCRIPTION OF WORK / G'6 c. L9 II lie 51/ <= J / 7 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I `. BUILDI G <br /> „D--/ 141C) $ x,56) VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ r <br /> i 5 <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 9 <br /> I I GAS 1 1 ROOFING 1 I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES 1 INO <br /> BUILDER COMPANY /4.1.E <br /> SIGNATURE / � /� � RE ' � GISTERED I Y/ N I FEE CURRENT I t Y/ N I <br /> Address L5 /f1! / /C. __7-1 / /(/e' 4 •`f <br /> t G- 3t5;15 License# ( -c 13,387 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <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. (A/C 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />