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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department U! (? / O <br /> Date Received -- Of r Phone Contact for Permitting ( 313 21 -- 1 ( 4 4 _ <br /> Owner's Name s racy) 14 2('`{)S 1-131110e Owner Phone Number e - 1 d %Scs <br /> � � L 33� 1 <br /> Owner's Address /t7 - 1 ) ( 1 _� e e 01, yC 2 „ � )( ,C' �� �l �Uw Ph Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .57119 /UeU 14Cirn ihj e . Z I�- t1l i l , 7/ 6354 LOT # 34 q <br /> SUBDIVISION �� 1 Z,c.�' PARCEL ID#I (95 c9I +0 10. - O crin - 34-t1-0 0 <br /> �> 1� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME I 1 STEEL [ OTHER ycb k I JC1rYuL I <br /> DESCRIPTION OF WORK ` <br /> BUILDING SIZE • ,) X . L} L) SQ FOOTAGE ) 1 73 HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 5-1 ocG <br /> ELECTRICAL $ 1 Oe C AMP SERVICE aco Mil PROGRESS ENERGY 1 ( W.R.E.C. <br /> I I PLUMBING $ ` <br /> ) /c <br /> I ( MECHANICAL $ ^ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES ONO <br /> BUILDER COMPANY OCT, U 0_,. <br /> SIGNATURE *. <br /> REGISTERED I Y N I FEE CURRENT 1 Y/ N I <br /> Address I aS A , : i ,,2 Q , l I ( . . I dE3 `-IVY License # rf -i - no �Q` Li <br /> ELECTRICIAN -,_.,,,.., - D COMPANY itC �I ( ( <br /> SIGNATURE , A, k _ . REGISTERED T Y / N 1 FEE CURRENT I Y / N 1 <br /> l. <br /> Address g G.;Cl &) Et,cx.,r�.�11 6106 /7 , icy 5(4i, License# tit/ <br /> PLUMBER COMPANY 5u 1 (PLC <br /> SIGNATURE ` 1 !J ;l V �, � � `' ,k_ REGISTERED I Y / N 1 FEE CURRENT 1 Y / N I <br /> Address ' , 6 ' n 1 - % • PhL / , L .` L 1 1 (-) License # Tf) -( (r V <br /> MECHANICAL � COMPANY Y 5 <br /> SIGNATURE ( ,c :l c � XL L REGISTERED Y / N [ FEE CURRENT I Y/ N I <br /> , , <br /> Address 4 1 n� / i I Q -f`4) /9_11 _ ilil Z )) `� 1-1 I License # , -e � ' `-( ! D <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I_ Y/ N 1 FEE CURRENT I Y/ N I <br /> Address ( License # F <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 />