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813- 780 -0020 City of Zephyrhills Permit Application Fax -813 - 780 -0021 <br /> Building Department 4 9 15° (1/ <br /> / <br /> Date Received 1 G/ - 1 /0644 I <br /> Phone Contact for Permitting Q 3 <br /> Owner's Name 6,9• #011X0iti 45,»g3 .L - Owner Phone Number a •3 i `� V <br /> -�Q to <br /> Owner's Address I90 7 .5 6TA* • .7f1///.< Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I y / <br /> JOB ADDRESS )9/1 / y �r2 /z ; & ,¢vim G �j�[/LI t r(s // � 7 LOT # 3C? <br /> SUBDIVISION 612M0 At/ r e� PARCEL / ID # 1 39-- o /— /o cC -30 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Fl ADD /ALT I SIGN Q MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F SFR I1 COMM I OTHER <br /> TYPE OF CONSTRUCTION n BLOCK 11 FRAME = STEEL = OTHER 1 <br /> DESCRIPTION OF WORK � j/91f/� <br /> RK ik.rip aiSe, <br /> BUILDING SIZE 8 SQ FOOTAGE I Pct"- HEIGHT <br /> BUILDING $ 74007. PP VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY Q W.R.E.C. <br /> n PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS Il ROOFING F SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I1YES ONO <br /> BUILDER �cY'�'' 1 O 5 1 COMPANY tW�(JMST/Z 770/I/ SIGNATURE J REGISTERED I Y/ N 1 FEE CURRENT , � 1 Y/ N I <br /> Address 1 /0457 12 4/408" . e/fxfl . - Z /yi g License # leed0r? - 23a- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address 1 License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N <br /> Address 1 License # I <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 Attomey (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 />