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813-780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> et , ) nggeeartment L'/"\ - Cc6B <br /> Date Received cz---- 0 Phone Contact f•r Permitting #7/ OP- -- 4.5 - <br /> Owner's Name tom' d 4 A- � ,� Owner Phone Number ` 7 l . <br /> Owner's Address 73o/ 4 - i t 12 1 , o— , j Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address g/ 70 r JZf 7 a 4 7 <br /> JOB ADDRESS / I> a 0 VI v1 e' Q L LOT # <br /> 1J <br /> SUBDIVISION PARCEL ID# 3 , -2-0--. �/ / <br /> - 0oco -6036/(9 - a ii' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Fr NEW CONSTR Fr ADD /ALT 1 SIGN n MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I I COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME 1 I STEEL I OTHER I I <br /> DESCRIPTION OF WORK /c,1 CF1L "te71 - - - A A t <br /> BUILDING SIZE b A/ 2— SQ K HEIGHT <br /> � ' FOOTAGE _ T � <br /> FLiI" BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 1 PLUMBING $ O f , p <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,r "e; <br /> 1 <br /> GAS 1 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES LINO <br /> BUILDER i A 1 <br /> COMPANY S9--- &-Lr . D , v%. <br /> SIGNATURE `' Z �� � �' REGISTERED Y / N FEE CURRENT Y / N <br /> Address / 0-30, l4 -■ 3I' f Deik C SX 7F1 License# 1 c ge /1 i <br /> C MPANY tA A. o 1 . 4 eatti t <br /> .41. &2fZ__ 4 ; AA044 REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT l Y / N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED l Y / N 1 FEE CURRENT 1 Y / N 1 <br /> Address I 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />