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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> Building Department / <br /> Date Received j"----/ / 0 Phone Contact for Permitting t13 Z /� 97 -- 1/ ° <br /> iiiittIitliittiJlLI_I ' <br /> Owner's Name �S eff f �' +/`y Owner Phone Number 1/ 3 ,?97—/1/9 <br /> Owner's Address 3 / d ,38 V -IL 4be 4 b Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address Q �� p � p <br /> JOB ADDRESS 3 9 013! ` 4 ,% (le LOT # / 0 <br /> SUBDIVISION <br /> QF Z f 4.2 f PARCELID# X61 -° -4 -o)- /- 00 -7' - 0 6 1 3d -0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I� STEEL 1 OTHER 1 <br /> DESCRIPTION OF WORK eXieA tie, "`" "- rOG b_ii-` /_ -e-el-i,16 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 7"" ELECTRICAL $ FOO dU AMP SERVICE PROGRESS ENERGY I I W.R.E.C. <br /> T � <br /> J j <br /> ° - <br /> I I PLUMBING $ yJ . +� - <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> WO gC <br /> �P / <br /> I I GAS I I ROOFING 1 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES WINO <br /> BUILDER %,.... , �, r wil . v �� • COMPANY —64t49-4- SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N 1 <br /> Address - ' %+ " A ' r 4 4 • s+ • °L License # I <br /> ELECTRICIAN 0,�1l u— 7/4 / ` 5 <br /> COMPANY (�C('/�r <br /> SIGNATURE � R y E � GISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address 3y 6 03I 9 /i /j te Ze, 4 / IY• 33 rY� 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # n <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 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 />