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813 -780 -0020 City of Zephyrhills Permit Application , j I- ax- b IJ -,au <br /> Building Department /¢ qSz Z/ <br /> Date Received ' Z Phone Contact for Permitting 4'/3 7a SP <br /> Owner's Name 0 Gt/" of AAA ' Owner Phone Number <br /> Owner's Address 3 7S lora""a. ,()(//)ef "' • Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3737 Y/? 21I1/2 1,04ty di' LOT # l / �j <br /> SUBDIVISION /,/ ve PARCEL ID# c)44-1:24 ZOO Od/ - Gtd f <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED in NEW CONSTR ADD /ALT I I SIGN n MOVE I I DEMOLISH <br /> I. INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM n OTHER I „/ I <br /> TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME I I STEEL I I OTHER I a-G�! • I <br /> DESCRIPTION OF WORK L .r'�T / /4 SA CV IA,/ �-'0�1- 7 [ <br /> Y X fa_ s,Lc 4Id�95 <br /> BUILDING SIZE , . „„ SQ FOOTAGE HEIGHT <br /> BUILDING $ / , 94301.J) VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ V AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ( I GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER 1 '� � ( <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES LINO n ,n/�T (3Q <br /> W I <br /> � <br /> i lam v <br /> BUILDER / (� COMPANY `€f a-/4 - r � L SIGNATURE il- / d`� ✓2 /j V �- <br /> REGISTERED I Y / N ( FEE CURRENT Y / N - , -; tti <br /> // �� .� 777 " "" / , ” "" / <br /> Address G( to /`f- 5 £cL / ZC/// hj%' 431 License # I <br /> ELECTRICIAN ✓ COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N FEE CURRENT I Y/ N I <br /> Address I License # I <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) 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 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/G Fences (Plot/Survey /Footage) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />