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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 , j <br /> � Building Department y / ( <br /> ,. <br /> , Date Received J ) Z -22 � e / �) <br /> Phone Contact for Permitting I - 1 / U 6' <br /> Owner's Name /wit-FL f'/ 5 .1. Owner Phone Number 7e3 - 7 57 1 I <br /> Owner's Address 1,111 14h? s . A-3//71 Owner Phone Number <br /> Fee Simple Titleholder Name c3S/ 1 Owner Phone Number <br /> Fee Simple Titleholder Address I J/ <br /> JOB ADDRESS k! d es I' * 11/ /7 , . f' LOT Si I <br /> r <br /> SUBDIVISION "nip i t, bp� PARCEL ID# I , --. 4 y -,91.• ',:+11 - LO3L7-ecocc - C Z `J <br /> d (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR ADD /ALT n SIGN O MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFR O COMM n OTHER <br /> TYPE OF CONSTRUCTION O BLOCK t � n FRAME O STEEL Q OTHER , f,/j, OA/ CDiclr*v r�t" /mod ire_ <br /> DESCRIPTION OF WORK G'd,C �j rt?� `j IW ( R,A, j s4 t t �a T, c..",ny /- i%.cr.,, . <br /> BUILDING SIZE I I SO FOOTAGE I 4 2 1 54 ° HEIGHT I <br /> BUILDING $5Z07`, /• (I° VALUATION OF TOTAL CONSTRUCTION <br /> O ELECTRICAL $ � AMP SERVICE PROGRESS ENERGY O W.R.E.C. <br /> O PLUMBING $ <br /> O MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> n GAS O ROOFING n SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA OYES nNO <br /> BUILDER � (/� t COMPANY �t f i / r�„As s T eur1-J�i�! <br /> SIGNATURE � / 3 , r j � sr v r� �, / REGISTERED Y / N J FEE CURRENT `� I Y / N I p <br /> Address I 5 / L c ' OGAZtt 3' / f z /1i//1 3-35.11. License# f C',0ec'�'' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N <br /> I <br /> Address I 1 License # I l <br /> MECHANICAL COMPANY I <br /> SIGNATURE , REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N <br /> I <br /> Address I <br /> 1 Ucense # <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 subdivisionsllarge 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 S2500, 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 NC Fences (PIoUSurvey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />