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' 813 -780 -0020 City of Zephyrhills Permit Application J q ((1 Fax- 813 - 780-0021 <br /> Building Department <br /> Date Received =EMU lyilbne Contact for Permitting 1 I3 qq � - 2 / <br /> s / / [� <br /> Owner's Name • _91 t s ears n o t u,2€ Owner Phone Number I 3 j I" tplO <br /> Owner's Address (.0 I 8 1R 4± ,_ S-1- re P T , 3O h u l h ( 1 3 Owner Phone umber <br /> Fee Simple Titleholder Namel N 1/19 I i � s Pearson 1 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Ir(I) IA - 6 5 hy(hIIb, ((. 335'71 LOT# 11() <br /> SUBDIVISION 3. y C 8 rfe3e PARCEL ID# o2-2I0 -2I -Q19Q-6Oo -Q 40o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR I <br /> INSTALL ADD /ALT n SIGN n MOVE n DEMOLISH <br /> REPAIR <br /> PROPOSED USE r +i SFR n COMM n OTHER ( I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL n OTHER <br /> DESCRIPTION OF WORK ' e - R ooc /iof ►Kepkienei <br /> BUILDING SIZE I SQ FOOTAGE I IR a 0 0 1 HEIGHT I <br /> FT BUILDING I$ VALUATION OF TOTAL CONSTRUCTION st5Lajlt, ,o!i <br /> rn ELECTRICAL I$ AMP SERVICE n PROGRESS ENERGY 0 W.R.E.C. <br /> El PLUMBING $ <br /> El MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION „_4aG V <br /> n GAS KM ROOFING I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA ElYES ONO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address I License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> OTHER ' " / COMPANY 14,1w/ire 3i A � n SIGNATURE - REGISTERED Y / N 1 FEE CURRE T I Y / N 1 <br /> Address 1 l r Ji"1 Ls I t N I r 1 l Co CV 1 sv 12(1. 11 r 1' tl i 4 t T l. 3354Zt 1 e60.5 1 r I 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; 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, Stomrwater 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 Attomey (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 />