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813 -780 -0020 City of Zephyrhills Permit Application 1-° ° 10 ' U1J LAJ< <br /> Building Department ('/W <br /> Z S • <br /> Date Received — /d — Q 7 -n�:.A Phone Contact for Permitting <br /> Owner's Name / r r f R :; /te t 14..- 0 0 Owner Phone Number S t i <br /> f . <br /> ' ; ;f7 <br /> i . "' " `% t /" i/ ' i a t' i L`. -] Owner Phone Number <br /> Owner's Address (`, L, � i 1 � + r 1 <br /> c. i ` , f A; c, - f . r r t "" C. Owner Phone Number . J 3 _ 2-g ry_ 5 L' (- I <br /> Fee Simple Titleholder Name � <br /> 2 I � , <br /> r J 1-5a x f M , ' 'l 1 1 I9f 5 + S, �`� 'k <br /> Fee Simple Titleholder Address dr _ -• (� ess ` 0 f (1 <br /> I � " c ! 1 rf % 1 : l -( (` t a L't- I LOT# i.r 1 /1 JOB ADDRESS <br /> SUBDIVISION kJ ( J- PARCEL ID# U 1 - 2 (."> - Z t - o " t .) - (Lt ; O 0! " 7 7 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR hi . ADD /ALT I SIGN 1= MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I"xl. SFR I I" COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK FRAME n STEEL n OTHER I <br /> DESCRIPTION OF WORK k r llC cc a c i C A - 1), CP I f 412—. <br /> 2 w f / <br /> BUILDING SIZE 1 0 X ` + . <br /> + SQ FOOTAGE 1 14,C HEIGHT I 1 <br /> I7"--.1 BUILDING $ f , 2 On VALUATION OF TOTAL CONSTRUCTION <br /> 1><4 ELECTRICAL $ -- AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> I 1 PLUMBING $ )■+• r f`� <br /> MECHANICAL $ C ©D • O VALUATION OF MECHANICAL INSTALLATION <br /> ..7 e > <br /> I GAS I I ROOFING I I SPECIALTY n OTHER 1,3 r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 4 1EINO ,1I <br /> 1 3 '�_i4 v / , t f f X69 <br /> i Ur <br /> BUILDER ;i •r� 11, COMPANY '7 6 I•- "I` 4 L P 6 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address i 0 1 License # <br /> ELECTRICIAN /.- COMPANY s G a_ 2 -z -- ° 4 L 0 O <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED [ Y/ N I FEE CURRENT I Y/ N I <br /> Address ` O V License # I <br /> ,7( <br /> MECHANICAL s1- A <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> 6 <br /> Address I License # I C i-e, 01..139 8 I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I <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 />