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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department � <br /> Date Received - e ei' Phone Contact for Permittii C--! 0-'4 Li <br /> 7 <br /> Owner's Name F/ li05 ZI'ii7 45 <br /> -1 7 Owner's Address / �fe f e <br /> O <br /> tIiG G, :/4 Fee Simple Titleholder Name J �%fiYJ9 i /' // ' 0-tit <br /> Fee Simple Titleholder Address A e '5 <br /> JOB ADDRESS 6 7/{/,k r!Tr 'fi''Q'-_ Ci �i���f l D " 7 r <br /> SUBDIVISION PARCEL ID #F 7 t lfiNo of- / - / 1 <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 <br /> INSTALL REPAIR te/ <br /> PROPOSED USE I 1 SFR 1 1 COMM 1 v 1 nCrN I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL n OTHER 1 1 <br /> DESCRIPTION OF WORK P � ?70f} /.Y /c/) ,7 va/Ze92 ,44‘ ._. -1/ s / ..4 , fel ? 727. <br /> BUILDING SIZE SQ FOOTAGE I HEIGHT <br /> I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> 1 1 PLUMBING $ ( /, /= 9l ..- - ,7 (-_,_,,,, <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,5,47)24-)15 40"; <br /> GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES Ell NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> License # 1 <br /> ELECTRICIA \ � � COMP <br /> ( \CLt 611CA lC).A_ J-C✓ �^L <br /> SIGNATURE ` �/ R EGISTERED A/110 ) N FEE CURRENT I Y / N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED l Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY ' <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 - <br /> Address License # I <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 />