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813-780 -0020 City of Zephyrhills Permit Application _44- ( 76,4 Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting C 2 ! 4 31 -- 1 S' il <br /> tIIJIIIlttIIttILltl: <br /> _ t, ,A ^ ii <br /> Owner's Name CCU'' C y _ l / 61 0 1 Owner Phone Number S 1 .ap <br /> ( 3�S <br /> Owner's Address lb() A \ JQ vt*Q L) KA akti ✓1 Owner Phone Number <br /> Fee Simple Titleholder Name dN CCLV\Oth∎ - i ` } Owner Phone Number <br /> Fee Simple Titleholder Address J"1 <br /> JOB ADDRESS 044y r n 'r LOT # <br /> SUBDIVISION SIWAV da a PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ICI SFR I I COMM OTHER I I <br /> TYPE OF CONSTRUCTION I ( BLOCK I 1 FRAME I I STEEL 1 1 OTHER I I <br /> DESCRIPTION OF WORK P Q�rQV) f Vi 0 tiSk c..31 v 1 in Q S <br /> BUILDING SIZE SQ FOOTAGE 3 Qp© 0 HEIGHT <br /> BUILDING <br /> $ C)535. G <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL <br /> r t-- AMP SERVICE 1 I PROGRESS ENERGY I] W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (� )�(� <br /> I I GAS ROOFING 1 1 SPECIALTY 1 1 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES IlNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <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 1 Y / N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N j FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> OTHER � .,- . COMPANY Vrt(ki 00Pl� <br /> SIGNATURE-- — - -- - .._ .REGISTERED 1( / N <br /> .... _ __.._ � ..1 FEE CURRENT I Y / N I <br /> Address • 1 " • = A,A ( r - 1 License # [ C- ( 3So <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 />