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813 -780 -0020 City of Zephyrhills Permit Application <br /> raw -u i J-4 u.,..,..- . <br /> Building Departmept q D � <br /> Q 2 383 -- /05- , <br /> Date Received — 3 -o l Phone Contact for Permittin. <br /> n , ! ? // Owner Phone Number <br /> Owner's Name j/9/ <br /> / , ` <br /> Owner's Address <br /> 1 6- tU <br /> Z V 7 /_ 'Pi 577 Owner Phone Number 1 <br /> Owner Phone Number 1 <br /> Fee Simple Titleholder Namel <br /> Fee Simple Titleholder Address 1 I . <br /> �/ �G' I LOT # I <br /> JOB ADDRESS 1.52V7 �T!' Z4 ° 15 �LLS. ( <br /> SUBDIVISION 1 1 PARCEL ID #I <br /> 1/— 212 - zi -Od /d _ /32 do - 0 S o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> I SIGN I MOVE I 1 DEMOLISH. <br /> WORK PROPOSED I NEW CONSTR WC <br /> ADD /ALT n <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR MI COMM I I OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER 1 I <br /> ) v I' I <br /> DESCRIPTION OF WORK I REZdi�,D DecK ,t ^ / /' <br /> BUILDING SIZE 1 I SQ FOOTAGE I HEIGHT <br /> 1 / // CO 1 <br /> pa- BUILDING l 'OO 0. 00 1 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ <br /> 7 AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> I 1 PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION n 0 � <br /> GAS I ( ROOFING 1 1 SPECIALTY n OTHER` (;+, <br /> FINISHED FLOOR ELEVATIONS r !l FLOOD ZONE AREA I 'YES in NO <br /> BUILDER COMPANY 1 <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I <br /> Address I License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address f 1 License # <br /> OTHER COMPANY 4 �/AJ TRif Cfi, p !27 mlc' <br /> SIGNATURE • <br /> �' �� �' � % - REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 ,O eRAdTAS , .2,9DE'c!Tv' 333 I License# .A -- ©8 750 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />