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813- 780 -0020 City of Zephyrhills Permit Application <br /> Building Department <br /> 93 - i tij a <br /> Date Received -2.4-o9 phone Contact for Permitting – <br /> VI / $ <br /> Owner's Name A/4e /b/.f f ....27/..- Owner Phone Number ') 3 -- 'J /Jam- 1/7 • <br /> 3/.5 / C o pe /arc, j�,- , 04– 0 813- 917 - 13o! ` a <br /> Owner's Address O wner Phone Num <br /> Fee Simple Titleholder Name' Lace J %.r . Z /'- Owner Phone Number l <br /> Fee Simple Titleholder Address . <br /> JOB ADDRESS 3 4',,,,,i%' n <br /> /S / LPC ,!/'� i•vt'- LOT# <br /> SUBDIVISION PARCEL ID#( <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ( ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I SZI COMM n OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK I FRAME <br /> /� <br /> AME STEEL n OTHER I 1 ) DESCRIPTION OF WORK / 0 0 X Z 00 / ? ✓e.,/ ►,e j <br /> BUILDING SIZE 1 /00 ,j! Z 00 SO FOOTAGE 2 0 ODo HEIGHT' Z / Z rr � <br /> 1/41 BUILDING $ 3 he e oD VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL 11111111111111M AMP SERVICE I PROGRESS ENERGY n W.R.E.C. <br /> ;fit• ,, I� <br /> PLUMBING'.; <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 4 1 <br /> ...,----- 1-1 <br /> n GAS 1 ROOFING 1 SPECIALTY n OTHER c/ <br /> FINISHED FLOOR ELEVATIONS 77 s - r f/ FLOOD ZONE AREA nYES nNo <br /> BUILDER - : ,..44f p 7 COMPANY K//lC4./47 �"/c– <br /> SIGNATURE /� a n 7 • REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 3'9r/ C,e %,ads ".4. 1 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> PLUMBER COMPANY ' <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I 1 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 Facilltles_8 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 35000) <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 />