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813 -780 -0020 City of Zephyrhills Permit Application 'l' S Fax-813-780-0021 <br /> Building Department 1 w <br /> Date Received ®G Phone Contact for Permitting -- / <br /> Owner's Name _ V/911/ F S SC11 .ell ed Owner Phone Number '/ 3 - 7 .3 y / <br /> Owner's Address ‘ 575Z: /? 3611- Sr' Owner Phone Number '/ 3 ciq 7 JA-. S C <br /> Fee Simple Titleholder Name Y 1 ' Owner Phone Number <br /> Fee Simple Titleholder Address S l £- <br /> L LOT # / /3 <br /> JOB ADDRESS ` 737 /S- J J n - / <br /> SUBDIVISION PARCEL ID# 7/ - 2 6 - 2 / '/ CC` 9 ` > - 6 /2-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ruiri NEW CONSTR ADD /ALT I I SIGN I MOVE I DEMOLISH <br /> PM" INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM 1 I OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I l I FRAME I 1 STEEL 15Z1 OTHER I ��'free, t, 1 <br /> DESCRIPTION OF WORK _ i L. s " `" / / ;e' `•c� e' 1. I / r r/ v c `' rye <br /> BUILDING SIZE SQ FOOTAGE 2E1 LIN c 1- HEI GHT 4 <br /> 1 I BUILDING $ VALUATION OF TOTAL CONSTRUCTION 5 t' 2 , f C <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> 1 1 PLUMBING $ 35 <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i <br /> y U <br /> 1 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES PING <br /> BUILDER ��' COMPANY J 4 `/ 0 `�£ / „q ( i. <br /> SIGNATURE �� , !" REGISTERED ` Y / N 1(./04£ <br /> FEE CURRENT I Y / N 1 <br /> Address YON /✓, L&) u+ S -- PY 41 F'4 a ,306e-S-- License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />