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813-780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department '- 61 t U <br /> . _ c t -tA1.5 C_oofr-E. x(07 5 �!o /Y7 $ <br /> Date Received Phone Contact for Permitting 4 p q <br /> Owner's Name FLORA Ub) rrAL - ZE 4) 4 f .h I LLS Owner Phone Number [� 13 ' 7 O 3 - Cr) L g ( <br /> Owner's Address 70 50 &# L.L. a LyD • Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C67 G � Li o (n4 LL f Lv 0 LOT # <br /> SUBDIVISION PARCEL ID# O2 - Z - 2.1- 0010 - 02S06 00 Z'O Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) / mixes o (K <br /> WORK PROPOSED NEW CONSTR n ADD /ALT 1 1 SIGN n MOVE X DEMO61B44 <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR._ COMM 1 I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 I FRAME 1 1 STEEL 1 1 OTHER 1 1 <br /> DESCRIPTION OF WORK r' OF zumi)( imisetO ',Aka* FIN eS W J Selective FiooC C.0 Jtv'6 <br /> BUILDING SIZE S Q FOOTAGE �v�o HEIGHT <br /> 1 I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ <br /> AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.0 <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING 1 I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 1 'NO <br /> BUILDER c /1 C COMPANY Sreve, S CoNS�ru -+-/o') <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 2 <br /> Address (02.0E5 tatlSlce� CQ�►< l'�. �•M�t�2S, Ft. 3391 License # C ( . ° / 40 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 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) 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 />