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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department 9 233 <br /> Date Received Yl"(14 Phone Contact for Permitting -- <br /> III 111111111111LL11Y / <br /> Owner's Name / /// a Al Owner Phone Number 7 ?2 <br /> � 7 j i/ S <br /> Owner's Address G,CSC I Owner Phone Number <br /> Fee Simple Titleholder Name' $' 't` 6 0(0 3 V ak.S Ln Owner Phone Number <br /> SP, -rl,nb le F L <br /> 3377 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6/ (C> ,�L 51 44,i; <r �f�• LOT # <br /> SUBDIVISION G5i��S </JLr /n �/C" PARCEL IID# 4,1-e6 c- a - Ua 3 _a -do/6) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME n STEEL E F f�a�/ <br /> L I I OTHER � OL • <br /> DESCRIPTION OF WORK SCn� CC U � C 9x � (/ <br /> 6 Q " /f OG ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 62 ELECTRICAL $ 1 AMP SERVICE <br /> [PC PROGRESS ENERGY Q W.R.E.C. <br /> /S t <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS I I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA IVES nN0 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # I <br /> ELECTRICIAN COMPANY A/65/ C��j G Z G� Cr TA eL <br /> SIGNATURE REGISTERED 9 /)N I FEE CURRENT ( Y / N 1 <br /> Address ' 7$' /Arr 6 // ,G O/a ( ( License # 1 L —'"' /3 13 `� ( <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 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 -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 />