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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department G/ 0 <br /> Date Received / — 2p Th� ( <br /> (' : i Phone Contact for Permitting -- <br /> Owner's Name (, v ieG fb /1 t 2 ' - Owner Phone Number fi j 3 ''f /) r 7 // 7 <br /> Owner's Address J /CV COPe /4'r , i Owner Phone Numf p <br /> ° ' 4 A /3- "f p ? - 1 6; <br /> et) <br /> Fee Simple Titleholder Name WiCGla,f' / Owner Phone Number or' <br /> Fee Simple Titleholder Address �J <br /> JOB ADDRESS 3147 CA C /Q, -/J/ 1Z ,LA& LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 1 VI COMM 1 I OTHER I 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1.)<1 STEEL n OTHER <br /> DESCRIPTION OF WORK /t Z /� <br /> 0 X 00 /Ice/ / ./iZ./' <br /> BUILDING SIZE /00 400 SQ FOOTAGE Z 0 0.0 .0 HEIGHT Z3 / Z rr <br /> BUILDING $ 3 ie oo VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> 1 1 PLUMBING Mgr M ( itA re ` <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q��� t� !'i I 1� <br /> 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER %/ /0v C <br /> FINISHED FLOOR ELEVATIONS . 7-7, ' f/ FLOOD ZONE AREA 1 (YES 1 'NO <br /> - <br /> a• <br /> BUILDER URE / `� COMPANY 444 e- /� / / <br /> I Y/ N j FEE CURRENT 1 `ON 1 <br /> Address 1 3 /J -/ Core /-hd� t2 (.,• License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 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-0-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 />