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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> , Building Department #690 7 <br /> Date Received 310 Phone Contact for Permittin' 'J ( 7 2a — 0" 4-0 <br /> Owner's Name S--"--U- <br /> L u- VA L1 0� 71 Owner Phone Number 3 S a cis O / 3 3 <br /> Owner's Address 13g 1 5 0 ksl-�LK i J vajeei Ce r wner Phone Number <br /> Fee Simple Titleholder Namel Owner Phone Number I I <br /> Fee Simple Titleholder Address I I <br /> JOB ADDRESS I S 8 1 54 ) V. AI -e J ` �'e ""i" 1 LOT # <br /> 1 <br /> SUBDIVISION PARCEL ID# 1 S 'a S 'c),/ -OD 70 - OOWD - 0 0 u3 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Fl ADD /ALT 1 1 SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR COMM 1 I OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL n OTHER 1 <br /> DESCRIPTION OF WORK ` ;^ A-"■0 ` ' v ` <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I I <br /> BUILDING $ t) VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ <br /> AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C, <br /> 1 PLUMBING $ <br /> 1 I <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Noe/ <br /> 1 GAS n ROOFING ( I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES nNO <br /> it <br /> �a' I - (' <br /> BUILDER VO COMPANY — Pu �" 1ap-er Cc,./-.7J �c <br /> SIGNATURE aq REGISTERED I Y/ N 1 FEE C RENT 1 Y/ N 1 <br /> V <br /> Address 89 t4 GA-I1 TIM License # c C.C. . 0 s g / 3(-1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT l Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <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) 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 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. (NC 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 (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />