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813-780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department l'7 �J { <br /> • <br /> Date Received - a O Phone Contact for Permittin. �j L -- ___ • �� • <br /> IlttI111111l1l-ItlLLI -- -- A t P i( <br /> Owner's Name 6 '} 4 ci &b 1 Go Owner Phone Number �a L ) ,, S ( , <br /> ' /(,i <br /> Owner's Address 51-13 ) l +K 3-J l Owner Phone Number R f 9 L/ G,9 - 3 a 1 3 <br /> Fee Simple Titleholder Namer? C� El- 4 >r t A0,r 0 Owner Phone Number (319 14 (p 9 35 <br /> Fee Simple Titleholder Address 5' 33 1 / 2 E- � `-(� 4- 7 11 \ ' ( �' <br /> JOB ADDRESS 5 j 3 ) 14-K . ` -, ) L'1 LOT # <br /> SUBDIVISION PARCEL ID# 1/ - a 6 - a 1 OQ / O 13`7 0 T) - NY o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN / M MOVE I= DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM Ii OTHER 1g1) 9 IL Co • rr 10 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME 11 STEEL Q OTHER <br /> DESCRIPTION OF WORK YY)OV E Cv J r s-1-, 1 /' -F.6 <br /> BUILDING SIZE O ) / 0 SQ FOOTAGE so HEIGHT Q c7 it <br /> I ( BUILDING $ 7 g-8 + 00 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> 1 ( MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS I I ROOFING I 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES El NO <br /> BUILDER COMPANY 0 �N LP__, <br /> SIGNATURE raiiit„iimrlialle . REGISTERED Y / 49 FEE CURRENT I Y /0 1 <br /> Address y 33 f P S • ±- 1 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 I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER I COMPANY ,s C U-�! �l C-49---- C-49---- SIGNATURE �� <br /> i REGISTERED I Y 1 FEE CURRENT I Y AV) 1 <br /> Address 51-13 3 / / \ J , Q 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 />