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813 -780 -0020 City of Zephyrhills Permit Application Q f1, Fax-813-780-0021 <br /> Building Department 89 <br /> {� <br /> 0/ 4Sco <br /> Date Received Phone Contact for Permitting g 13 [ ° -- 5 p u r '"' 1— s <br /> -7 ✓' <br /> , <br /> Owner's Name _C arot rnaGtn +ee, Owner Phone Number ($(3) <br /> Owner's Address 3 50? Py r i 4 - e Dr. Owner Phone Number CCU I 1 05604(0 7 7 5] <br /> Fee Simple Titleholder Name 5 jjs.c_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 5 Oq Py r i I L <br /> e- Dr. LOT # 3 <br /> SUBDIVISION Erneraid POl ✓1 -G PARCEL ID# ait p-- •l —cogD_ 00000 3030 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ✓� NEW CONSTR I I ADD /ALT n SIGN n MOVE I 1 DEMOLISH <br /> I INSTALL REPAIR <br /> PROPOSED USE I ✓I SFR 1 1 COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK F FRAME STEEL 1 1 OTHER I $ N //$Clint 1 <br /> � nfC 7 4 /4(/2- ` z 3L ' .(tea : <br /> DESCRIPTION OF WORK �" " S <br /> ` v <br /> lb x t 2 sceEev <br /> BUILDING SIZE 12. X 3 LANAI SQFOOTAGE 504 HEIGHT <br /> BUILDING $ /5000 VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ V lJ AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 INO <br /> BUILDER / " • MPANY 0Lvvlwr `C ro l MaG I nfee, <br /> -"SIGNATURE • ;. Ci , A X 121.t`� 111 REGISTERED I Y / N I FEE CURRENT I Y / N <br /> Address 350 Py ri fC Dr License# <br /> ij41 <br /> /.5M6 PANY ale VLECTRICIAN �r f c L /" t I Y 1 N I FEE CURRENT I Y/ N ) REGISTERED <br /> Address I License # <br /> LUMBER . ; 0 c gazzici'i 6M NY deC tU r / <br /> IGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY , <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, c <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 (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />