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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department ,f4 9//0 <br /> Date Received 4' Z7, 0 9 Phone Contact for Permittins -- <br /> Owner's Name, ' Nb Q � . fi 1f �,,Vcs Owner Phone Number F t 3 • cl$ - )sinVi <br /> Owner's Address q b ' \I (,. 7,. Qu' ), \ dc 1/'t -. Owner Phone Number <br /> I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address , �7 p <br /> JOB ADDRESS -3R I''' 1 Cl�� W \fie.. ` � T \ \A K <\t- LOT # <br /> SUBDIVISION IC\ 1 1‘4,■. \1C.,S riSk PARCEL ID# 1).— t `', I - 0 0 A , a Q\OA ' (\ 0 ‘\ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR // ADD /ALt n SIGN n MOVE I 1 DEMOLISH <br /> ,: -INSTALL REPAIR' <br /> PROPOSED USE 1P ,. SFR) 1 COMM I 1 OTHER I 1 <br /> TYPE OF CONSTRUCTION 1 1 ( B BL " —OCCK I I FRAME 1 STEEL n OTHER 1 1 <br /> DESCRIPTION OF WORK .)A ` 0 \``C -Z ' -� % (/ <br /> a ox � 1 f <br /> BUILDING SIZE SQ FOOTA HEIGHT <br /> BUILDING $ 14 OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 1 PLUMBING $ <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V <br /> 1 GAS 1 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nN0 I Cj <br /> le <br /> BUILDER �, //�'��L <br /> _ a ' p- 1 COMPANY /37e7/0 p� 0c <br /> SIGNATURE <br /> �� REGISTERED I Y/ N I FEE CURRENT I Y! N <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # (- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N 1 <br /> Address ( License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address ( 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 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 />