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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department , ! o s6 <br /> Date Received <br /> 1 - 1i2 - d Phone Contact for Permittin • v L V o �-3Qh p <br /> ' / » 4 W nu W / 1 ' L�! ' A , II Owner Phone Number O i 7eb-Yia <br /> Owner's Name /�ll // <br /> Owner's Address 15�c / 2d ' / 2 hi» I Owner Phone Number I <br /> Fee Simple Titleholder Namel I Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 15.5c10 /' SL , . . % / // , N. 935 I LOT # I <br /> SUBDIVISION I I PARCEL ID #I / 2/D c 2 - odv ©f b ze!e <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR I I ADD /ALT I I SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE <br /> SFR (..Y I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I1 OTHER 1 I <br /> DESCRIPTION OF WORK SeZ 2P66s 7RNk Rut ) 'jas 1 -lo remise <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 <br /> icy <br /> ) ROOFING 1 I SPECIALTY I I OTHER -' <br /> :� �I GAS I 1 I `,, lY' �/�1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES I INO C y . 'L � <br /> r r a P1W <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 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 I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER / <br /> r COMPANY 94r9 / 1. s / 4 / 1-NC <br /> SIGNATU REGISTERED I N I FEE CUR Y / N G' j - <br /> d tf /� ,j�� 1, ` /k R3 License # ��U/735 /1 <br /> Address / / �� /'7��aAJI� /�[3 . � h r , �h/ <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) 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 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 />