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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> • <br /> Date Received I q - ,y..._ 0 V 1 <br /> !00> Phone Contact for Permitting <br /> Owner's Name R • ` . Li N, `, 4 , 1 W._ . C Owner Phone Number <br /> Owner's Address i( ? L. N1Y % bit.:iV L.= Owner Phone Number <br /> Fee Simple Titleholder Name' I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (0(00(4 ) CiN,(_ 3LN-11 , LOT# ' <br /> SUBDIVISION PARCEL ID# v t NTT P i CA <br /> / (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 1 NEW CONSTR ADD /ALT n SIGN n MOVE 1 DEMOLISH <br /> I i l INSTALL REPAIR <br /> PROPOSED USE n SFR 1 -7 p ....'. <br /> — COMM Q OTHER <br /> TYPE OF CONSTRUCTION 1 L BLOCK ni FRAME n STEEL A n OTHER 1 v - 1 <br /> DESCRIPTION OF WORK D ��Jt..l� Et' 4 4 I IN 4 i CC1I�1i ,) 4 .0..c F'� 1 &W ty.S�A 1 '4 6 — la •L <br /> BUILDING SIZE SO FOOTAGE (D `� 2) " HEIGHT � <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION f <br /> n ELECTRICAL $ AMP SERVICE In PROGRESS ENERGY 0 W:R.E.C. _:. . - -- <br /> Q PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING I SPECIALTY n OTHER ,I J 0 ` r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES [] NO <br /> Iola <br /> BUILDER . J <br /> — COMPANY t i t) H L S 1.01 yA-.��l,yI i y <br /> SIGNATURE - REGISTERED 1 Y / N I FEE CURRENT � / N `- I <br /> Address a4. ,4 A Ly ^ ,, <br /> � ' t�t�Q �'_ � JI`41 License # <br /> ELECTRICIAN <br /> COMPANY <br /> SIGNATURE `k REGISTERED l Y N I FEE CURRENT I Y/ N I <br /> Address <br /> 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT l Y/N I <br /> Address License# <br /> I.e. M cb nem. A 1 i -- �NV 'wi,�i C° (4 C6 J <br /> S COMPANY <br /> A I REGISTERED 1 Y/ N I FEE CU N I N <br /> Address License # <br /> OTHER COMPANY _ � <br /> SIGNATURE ,� �l•,i/i I� <br /> �� r ' GI L 1► ._� � i <br /> Add 0 y ic - -.-.._ <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 subdivisionsAarge 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />