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813-780 -0020 City of Zephyrhills Permit Application -� <br /> rax- nia- rou -uuzi <br /> Building Department r I v <br /> Date Received Phone Contact for Permitting ______ -- <br /> JJ G L6 Owner Phone Number O � 3 - 7 il - 3 9 c d <br /> Owner's Name_,) 0 St'�/1 �1N <br /> $S 3U a 3 rd s• I Owner Phone Number L <br /> Owner's Address <br /> Owner Phone Number I <br /> Fee Simple Titleholder Name) <br /> Fee Simple Titleholder Address I I <br /> JOB ADDRESS I .� S 3 0 , 3 r v 51 Z ee / T A,- ((5 1-- 3 3S c7, I LOT # <br /> SUBDIVISION 1 I PARCEL ID#1 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR ADD /ALT 1 1 SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I C I SFR 1 I COMM I I OTHER 1 ( <br /> TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME 1 I STEEL n OTHER I I <br /> DESCRIPTION OF WORK ✓ 7 20 / 1-1 l (" /3 $ cep St/5-71e,, eq a 4 G c / I <br /> BUILDING SIZE I SQ FOOTAGE , HEIGHT I I <br /> 1 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C, <br /> 1 I PLUMBING $ <br /> MECHANICAL $ 0 0 VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 1 I ROOFING 1 1 SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES [1NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I License # <br /> MECHANICAL 7 � ,� COMPANY Pi ` /VP' t°/ l; r eopf.rd /V' �' r' " <br /> SIGNATURE 7 v _. REGISTERED 1 Y/ N I FEE CURRENT I Y/ N <br /> Address Y" 0 J0)! L/ 6o36c' I2/4.+ / -G 3 ]6 L/ ( License # I' ,9& 6 7/g U <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address , 1 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 />