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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department erq6q3 <br /> Date Received J a / e • Phone Contact for Permittin g <br /> Owner's Name 'iC r'`t r} a - 1- t" j 0 �7-I . Cs )'�' dot 4 Owner Phone N .' . - 7 17 5-7 C 6 5 ,3 " , <br /> Owner's Address NI Pt JeS� t G 0 • 'l- a - S t" 1 E t 5 i Owner Phone Number <br /> Al if y� r <br /> Fee Simple Titleholder Name 4 C - FLU L U c L . / Owner Phone Number <br /> / � t / Q /- /� D SCo SC AIe i9z sr <br /> Fee Simple Titleholder Address -! l .. .. - e I L fY/f ✓ T l� 6 31 <br /> JOB ADDRESS 3 d d " L r� <br /> c .41 c <br /> � , . , ZE iart y R !-I 1 tLS � ' A 3 3Sj a . LOT# / S/ <br /> SUBDIVISION PARCEL ID# , _4 .- iQ -- 2 - Oa = - o,Ood 0 - L7 C/ k <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR 1 1 GOMM I 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL ( I OTHER I I <br /> DESCRIPTION OF WORK IM O V E E'i t 5 l" r %J G- fro C L (0..•7t Or'1 L. 0 T" - T) A r't C3 ' r i-i G. g., <br /> ht0 5 t <br /> BUILDING SIZE 2 S Q FOOTAGE HEIGHT <br /> i BUILDING $ 9D,' ��� VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY ( 1 W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ( GAS 1 I ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO <br /> , <br /> BUILDER ��` 4 COMPANY 'mo hN.1 t P . _ _ S I G N A T U R E V ' L t t - j 1Cr� 4,-9- 'J REGISTERED I Y/ N j FEE CURRENT I Y/ N <br /> Address '..-) ( License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 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 />