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813- 780 -0020 City of Zephyrhills Permit Application - 12
<br /> Fax-813-780-0021
<br /> Building Department
<br /> Date Received / V- °'
<br /> Phone Contact for Permitting
<br /> Owner's Name POLL IS IAA 2.k E. LLE vELR1J) Owner Phone Number Z., 1015- )a8
<br /> Owner's Address (.7). 1 I1 1A NE. a Nig.,,,LLS / rL. 33S93. Owner Phone Number
<br /> Fee Simple Titleholder Name Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS 3g I 74 n iE. Z -i`11 ILL :), FL . 3.3-5q)- LOT #
<br /> SUBDIVISION PARCEL ID# it - g€ ,- l 009.A - Woo- oc 10
<br /> (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR ADD /ALT ( ' SIGN n MOVE n DEMOLISH
<br /> INSTALL REPAIR
<br /> PROPOSED USE 4 SFR 1 1 COMM n OTHER
<br /> TYPE OF CONSTRUCTION n BLOCK 1 I FRAME n STEEL n OTHER 1
<br /> DESCRIPTION OF WORK R lc C+1gtsG Oki'(
<br /> BUILDING SIZE I SQ FOOTAGE I HEIGHT
<br /> tint# ##1#timitimistitiimititt# #t • .................. .... • tI ttlIMI akNttkftt#ttkkkkIMMktkkkkk
<br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION
<br /> n ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C.
<br /> n PLUMBING $
<br /> MECHANICAL $ -60OO 0O VALUATION OF MECHANICAL INSTALLATION
<br /> n GAS ( ' ROOFING I I SPECIALTY n OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES nNO
<br /> BUILDER COMPANY
<br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1
<br /> Address I 1 License # I
<br /> ELECTRICIAN COMPANY
<br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT YIN I
<br /> Address , License # I
<br /> PLUMBER COMPANY
<br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N
<br /> Address 1 License #
<br /> MECHANICAL i COMPANY [\w tNIct Al2 &L)TlotIS
<br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT ( Y/ N
<br /> Address 5I( Li Clac.rJS#1Hw JT• TRM('4 / FL. 33 39 1 License# ICAC 1 LtC I
<br /> OTHER COMPANY
<br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT Y/ N
<br /> Address License # I
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<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 /> EEEig:::::: ........... E . : - - . ....:..,,,, ,.,..: , .... ... ....,,,..
<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
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