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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> - Building Department <br /> Date Received Phone Contact for Permittin s – �+ <br /> Owner's Name Billy W t ra l � y C- e _ Owner Phone Number V 33- T2-- Z d 7 Fr <br /> Owner's Address / 9 a i — d Owner Phone Number <br /> — —1 <br /> Fee Simple Titleholder Name � eI1 / w ray Nywet e ev' / jc Owner Phone Number <br /> Fee Simple Titleholder Address 9-7 k4 y /i a c r( fr j <br /> JOB ADDRESS 3 7 q u r f3 /a c 4 /3 e rye `- / ' LOT # 6 <br /> SUBDIVISION PARCEL ID# / - ? 6.- 4.1- 64,0-65'& 0 ~6 3ca <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 11 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL <br /> } <br /> E n OTHER 1 <br /> DESCRIPTION OF WORK VIA 0a. , d s et a 1-0,19 1-0,19 F /4 ` ' <br /> d /A • '" ' ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION - �{ <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS F ] -�I W.R.E.C, <br /> 1 1 PLUMBING $ I� O <br /> H MECHANICAL $ O 3 3 S c VALUATION OF ME HANICAL INSTALLATION # ✓ 3 5 eci'l. <br /> I I GAS I 1 ROOFING 1 1 SPECIALTY [ I OTHER L I� � ( <br /> `�'r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I NO v J � ' <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I 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 /> I' C <br /> MECHANICAL COMPANY 95 / S <br /> SIGNATURE A11 ` 1 REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 f <br /> Address I License # 1 R , e 1 Q5f7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 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) 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 /> Driveways -Not over Counter if on public roadways..needs ROW <br />