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813 -780 -0020 City of Zephyrhills Permit Application / Fax- 813 -780 -0021 <br /> Building Department 1./ 7 (✓ <br /> Date Receive.■ <br /> /1 0 <br /> Phone Contact for Permitt -- ---- - ~ "= <br /> Owner's Name ieA R t A G I I . r Owner Phone Num ;e _ki 3" i 8'61. pi K.3) <br /> - <br /> Owner's Address 3 '74 �,�lACMh, C- IiC('LE, Owner Phone Number -- - ---7---- <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 3/7 1 �, VuL c,A � Cik C Lt, LOT # (p/ <br /> t% jt & PARCEL ID #_ - =_ /►INED 0 - 22/ ' <br /> SUBDIVISION "- 1 J <br /> M FROM PROPERTY TAX NOTICE) �UQ(� - Q � / � WORK PROPOSED NEW CONSTR ADD /ALT [ I SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK [ FRAME [ I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK tl ( C <br /> ( 1 / P G' ( :'• inx? a6 f ((47 ) 'cr-6 -#1PlUA .„...„. <br /> BUILDING SIZE I 1 ?A SQ FOOTAGE HEIGHT VrA <br /> VA BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY (� W.R.E -C. <br /> i LS e et <br /> I I PLUMBING $ Y <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA /- r IVES I}2� <br /> 0 <br /> i <br /> BUILDER ‘ i COMPANY / , <br /> SIGNATURE / / REGISTERED V Y/ N I FEE C RRENT I Y/ N I <br /> Address g25/6 v oc N o e Ge ,/ D ty . Licens <br /> il Cwt <br /> ELECTRICIAN / COMPANY j ,� / / <br /> SIGNATURE ✓ A ea REGISTERED / ' FEE CURRENT I Y / N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 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 />