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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 , <br /> Building Department 'cif 69 9 <br /> Date Received -vim — /G _ J x Phone Contact for Permitting s� 3 <br /> •� z)#/ 5 <br /> �J 0 �� / �y 2i�� /f,J Owner Phone Number i/./3 7�� /��` /' 7 <br /> Owned Name / �� / /e. , <br /> J .D .4/./c.•°/— A !-', v� Owner Phone Number <br /> Owner's Address I (,, e (" 1 (,) � f /� 5 ( <br /> Fee Simple Titleholder Namel Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ./ r77e -r' S 4 Q-e , 'd ✓ LOT # <br /> SUBDIVISION S,, c7 (}% 4 S PARCEL ID# 03 - b l z if - ° ' o 17p <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I 1 SIGN Q MOVE 0 DEMOLISH <br /> ye... INSTALL REPAIR <br /> PROPOSED USE 1 s :>!1 SFR I 1 COMM I 1 OTHER <br /> TYPE OF CONSTRUCTION I 1 BLOCK I 1 FRAME I 1 STEEL n OTHER' 1 <br /> DESCRIPTION OF WORK /" 6/ 7 - ,- /i ;' D �- J c lA , ;r7 / 4 ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $ ; /`� [l) VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 CS ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES nNo <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y N I FEE CURRENT 1 Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE 1. REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N <br /> Address License # <br /> MECHANIC- r 7 , ='? /2 COMPANY I.., t+21.1) - 4� <br /> ' / r1 f �i•� L <br /> GG?� <br /> SIGNATU E'' 1 1 - -' ' . .fa?'Yt�F � REGISTERED FEE CURRENT 1 Y / N 1 <br /> Address 4".04. O -4- / 4 - re 'i 4: , 7) r ,..' _3 1.' Z `' License # I ( FZ l7`, S 7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N <br /> Address 1 License # aC <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 wl 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 />