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813-780 -0020 City of Zephyrhills Permit Application // /0 Fax-813-780-0021 <br /> Building Department q rf <br /> Date Recdived _, 0 Phone Contact for Permitting O t 3 7gS -- .5 <br /> Owner's Name L'u) i 1 r relit erouon Owner Phone Number ( $13) 783 -1 g 3D <br /> Owner's Address 3 R (a .' _ - d l ✓1 d pi O wer Ave. Owner Phone Number <br /> Fee Simple Titleholder Name 3a . c.. Owner Phone Number <br /> Fee Simple Titleholder Address SC_te_ <br /> JOB ADDRESS SGE.u•4_ a `� S aiDo �LOT # <br /> SUBDIVISION SI e'er I <br /> er l -b l 11ow ob. Est PARCEL ID# Opc J ,0 <br /> ' - Oo26O � 43 0000 - 0 «L 7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR >G ADD /ALT I 1 SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK /� I I FRAME j E r STEEL I� OTHER IMMI <br /> DESCRIPTION OF WORK (mil X 2Y '+ A dd l +10 <br /> . <br /> BUILDING SIZE I g 1 S SQ FOOTAGE o2 1 to HEIGHT <br /> BUILDING $ g 1 7 5 O t O 6 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ J AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS I I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES LINO <br /> n ► r <br /> BUILDER �� / y�� 9 " 9 COMPANY Bahr `S Al (,uvt i n u K. <br /> SIGNATURE f �' tC27iDa• REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address ('440 Fov t KI U \ R.d.c. I Z -k S, 33 I License # <br /> ELECTRICIAN �� , mac �` ,�,�� . 1 ► GZ- <br /> V COMPANY `r +l va. E1 e GT f'l. v <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address ` ` License # 1 <br /> P MBER COMPANY 1 <br /> a , <br /> ATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> / Address , ' a;' Licensg # <br /> Ai- AY "(01224-(Ai ( - / <br /> HANICAL . ilj Agli�iL% ` p COMPANY <br /> tt ATURE � � , W „ - / 4 I REGISTERED I Y / N I FEE CURRENT 1 Y / N i <br /> woitwr,w, ∎'A/f oav/IYyI <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />