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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department 03 <br /> Date Received —( P-0 Phone Contact for Permitting J 1 7/ -- r <br /> Owner's Name 4 c `` =do — ► Owner Phone Number <br /> Owner's Address - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address y o , <br /> JOB ADDRESS t. " i - ---� �� -2 .t. ■ - 6/ 1 k LOT # ° <br /> Lt. <br /> SUBDIVISION 1 T ► U r .11 - 7 3 PARCEL ID# � `aS -a `CJ I J 0b0r — 5 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED M/ NEW CONSTR ADD /ALT I I SIGN I 1 MOVE 1 1 DEMOLISH <br /> gm INSTALL REPAIR <br /> , <br /> PROPOSED USE SFR I 1 COMM [J OTHER F --. L '' _ . �� I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I I STEEL r 1 OTHER I MC-61 (e. i1 C',Y�S <br /> DESCRIPTION OF WORK l' cbt K ' 1 R S j 104 I C' 1 <br /> BUILDING SIZE 1., " C / // SQ FOOTAGE / d sS HEIGHT <br /> BUILDING U---- � VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ f/ I C 0 AMP SERVICE n 0C) PROGRESS ENERGY I I W.R.E.0 <br /> I I PLUMBING $ <br /> 0400, CO �J WAP <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION „+ r� pt'I� <br /> I � ,cdv ► 1141.04‘4t �t,(, � <br /> GAS 1 1 ROOFING 1 I SPECIALTY I I OTHER 6) <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 'NO <br /> 4 . - - - - - - . <br /> BUILDER COMPANY -'- i_ !if' <br /> V SIGNAT URE )' REGISTERED 1 N I FEE CURRENT I YIN I <br /> Address 8 �� v£ - (&2i, r <br /> p 4 1 *) � <br /> .)-4 License # 1 -6000 <br /> ELECTRICIAN C COMPANY PA L( O4- (C, ti! '- <br /> SIGNATURE M ��� REGISTERED I Y / N FEE CURRENT I Y / N I <br /> Address )(8(�(p et [) ( ewe - e, L .-{{ 1 1 . j 3 jC-(a License# _ oly Y J er s J <br /> PLUMBER <br /> v,..:),,,,.. r COMPANY R LCc SIGNATURE \ ` i( �� 5 REGISTERED Y / N I FEE CURRENT I Y/ N I <br /> Address 3cfeg Ne,L o 1>I�1:11 � / f---t439-43 License # —( c �,v <br /> MECHANICAL l COMPANY 1 rS <br /> SIGNATURE lnJ!�,L' REGISTERED Y / N 1 FEE CURRENT I Y/ N I <br /> ,fi T / <br /> Address H �Ic,/ n ti -. (_, 7��/,0 , /�/ <br /> / . 3 g • -1 j ,/ <br /> License # 041(1-0 l3i <br /> OTHER /� /'� COMPANY <br /> SIGNATURE REGISTERED I Y/ N I 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) 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />