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813- 780 -0020 City of Zephyrhills Permit Application ....,. �t, 3 • .-,• _ .... <br /> Building Department `r <br /> Date Deceived Phone Contact for Permlttin • -1; J;9- 5 – 6 ! 1 1 o <br /> c,� <br /> 1 I t le n l�(,�c1 t S Owner Phone Number S i 3 - 189 - ld la <br /> Owner's Name e .� I <br /> Owner's Address 1 to 4 5' g 1 © 0 0 r I Owne Phone Number I <br /> Fee Simple Titleholder Namel <br /> Owner Phone Number 1 I <br /> Fee Simple Titleholder Address I <br /> I <br /> e yI 4 1 6 "&� o 1.r L Z �ULs I LOT# I I <br /> JOB ADDRESS I co � 1 s, I <br /> I I PARCELID#I b. °(9 -al -Opt l p - Obob - IIio <br /> SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NSTA ONSTR I I AREPAIR DD/ALT 0 SIGN Q MOVE Q DEMOLISH <br /> PROPOSED USE ri SFR I I COMM 1 >el OTHER i 11 l c ' 411 L} ' - \ <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL n OTHER 1 <br /> DESCRIPTION OF WORK 1 RtIhUN Z- Gib SySEm - LnS 1`1 <br /> �1�11 t� kid-4- `�nj S� 2--r-lri <br /> BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I <br /> I 1 BUILDING I$ I VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL I$ <br /> I AMP SERVICE 1 X.1 PROGRESS ENERGY El W.R.E.C. <br /> I 1 PLUMBING I$ I <br /> MECHANICAL I$ , r. ). j A j Q 0 I VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING I ( SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS I <br /> 1 FLOOD ZONE AREA 1 (YES 1 <br /> COMPANY 1 i <br /> SIGNATURE <br /> BUILDER I I REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> I License # 1 I <br /> Address 1 I <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE <br /> I REGISTERED L Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> 1 License # I I <br /> PLUMBER COMPANY 1 <br /> SIGNATURE <br /> I REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address ( I License # 1 <br /> c/azieg,s...... <br /> COMPANY IS uTi-lk Jtry 0.0 v <br /> 0 <br /> MECHANICAL <br /> SIGNATURE ISO <br /> I Y/ N I FEE CURRENT I YIN I <br /> - q <br /> Address T� 0 1 t Jc$ Co R- B5 I Rte'- rt r 335111 License # I CbC 1 i 13 .S 7 f <br /> OTHER COMPANY 1 <br /> SIGNATURE <br /> I REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License # 1 <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) 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 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 /> $ F. <br /> Driveways -Not overCounter if on public roadways..needs ROW <br />