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813 - 780 -0020 City of Zephyrhills Permit Application J Fax -813- 780 -0021 <br /> Building Department T <br /> Date Received 2,413 Phone Contact for Permitting / i T U -- ,5 y /3 <br /> Owner's Name 2 6 i /, L // L G , Owner Phone Number <br /> Owner's Address 7/ 1 h e e a' � H/ / 1 / Ci • /c ',v v 1 ©y Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /� / ,, / <br /> JOB ADDRESS / q �A l-r // a / 1 1 LOT # <br /> SUBDIVISION PARCEL ID# /d --g6--c / - ®Dbs O - dOdO D - c2e <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT SIGN n MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE r SFR I>L_I COMM n OTHER I I <br /> TYPE OF CONSTRUCTION I><1 BLOCK I I FRAME I I STEEL I OTHER I I <br /> DESCRIPTION OF WORK L A/ T Le /C / ` d /, E L v _/ E /,` A / Q <br /> BUILDING SIZE SQ FOOTAGE 1 HEIGHT <br /> I I BUILDING $ l VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY rI W.R.E.C. <br /> I I PLUMBING $ ' pc. v <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION jeI' <br /> ./7 <br /> & s v <br /> I I GAS n ROOFING 1 1 SPECIALTY n OTHER brrv <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r1YES 1 INO L. 6 ,t if, a. A <br /> BUILDER / � COMPA J ' x/ �. �z� Gt A.c %/ J / ✓ .2 <br /> SIGNATURE /� ` REGISTERED Y N FEE CURR I Y/ N I q <br /> dk i- Address o) ,v e d d 7 ,� CI Z ,` r `/ ('/ /�� 1 License # 1 G G ©,( —��� / 1 %z <br /> (c r 7b2 <br /> ELECTRICIAN a ` � COMPANY Cam( �( j� � C <br /> SIGNATURE / t' _00 1 REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address IIML' . M License # , -- -cam ()0041-76 I <br /> PLUMBER / v 1 COMPANY qii6 £ 'M i Pi. U /Z/t h, � SIGNATURE �.. i2- ' ' ` REGISTERED / N I FEE CURRENT I Y / N I <br /> Address I S729 4- /( /L,p,Q License # RFC /X-.2_ 6'5i2Z. I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N j FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 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 NC Fences (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />