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813 -780 -0020 City of Zephyrhills Permit Application / Fax -813- 780 -0021 <br /> Building Department q6 / <br /> Date Received • --- <br /> '— 0 Phone Contact for Permitting <br /> Owner's Name '�V'c° 0 _ C. 1 Owner Pho Number 411 - - Iv�6 3 41. <br /> ) <br /> Owner's Address `5 714( (s s-5-7hpo' -7 Owner Phon <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .5 /i/ G, 71 57r� LOT # <br /> SUBDIVISION PARCEL ID# // — 2 "-2 1 " 0010— (3_2700-of )O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW ONSTR A ALLT I I SIGN I I MOVE I 1 DEMOLISH <br /> PROPOSED USE I I SFR I I COMM Ix I OTHER gffl1��'ii1111►i ; "- <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME 1 1 STEEL I 1 OTHER <br /> • Rick-,2_,S2 / p/ 6 E tyT / <br /> DESCRIPTION OF WORK Rick - 2 S P.91�1S �`sr �d / � l4v�r�t f ohiA 1 �^�//' 1 t1 �.�-v� (c <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> • . .. <br /> I j BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE if PROGRESS ENERGY [ 1 W.R.E.0 <br /> PLUMBING $ ,g J <br /> • <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES [R:INO <br /> BUILDER " �' j ' COMPANY C t� <br /> SIGNATURE ' , -`, °/ �/; 1 /..�� j✓ -/,.,/ ,��� REGISTERED I Y / N I FEE CURRENT I Y / N <br /> • <br /> Address � License # <br /> 1 <br /> ELECTRICIAN ,? <br /> f / COMPANY <br /> SIGNATURE REGISTERED <br /> I Y/ N 1 FEE CURRENT I Y / N i <br /> Address License # <br /> PLUMBER / / / REGIST ERED COMPANY /Cfs FEE Y / N <br /> V <br /> SIGNATURE / " / // �� �// / Fie I Y / N I FEE CURRENT �, /' [fir') <br /> Address 3 7Z I A ( .8 L Uv 2. -iidfs Fi License # / Y.C.p � .c <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 I 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 /> 11 I1IiII111I1111111111111 11111111111111111IIIIIIIIII1ii11111111111111111111111i11111111111. 11111111111111111111I11111111111111111lII1111I1III11ilf <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />