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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 /� <br /> Building Department � <br /> Date Received 9 ._a 9 - 1 P .ne Contact for Permitting g / -5 -- <br /> 1111tt11111111IL.LLIe - — <br /> / <br /> /} <br /> Owner's Name (i / ; [� <br /> . � _ � ^- / ' Owner Phone Number i 3 - 7; ; 3 - 1 if <br /> Owner's Address 371/9 t�'pda&i f -/ LTV l .4414, FL g 4' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address j/ /} I _ f_ - / /� <br /> JOB ADDRESS % 7 9 A /ai 4- ! yA-,(, l L 3�JCV _ LOT # <br /> SUBDIVISION / / / PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR K ADD /ALT n SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR I I COMM I 1 OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I 1 FRAME ! I STEEL OTHER I <br /> DESCRIPTION OF WORK A�pl At(`- — P�// A //1ST,1I n'/b J 1,140-014 4fol 4144Se4 <br /> BUILDING SIZE ,.1/. 87S''s )/- 8 751 SQ FOOTAGE V7p, 5 HEIGHT 351 /v <br /> WA BUILDING $ Q a 0 t) VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ ll AMP SERVICE I ( PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ / -3t7 7 KriRY�sf <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 I SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES 1 INO <br /> II " <br /> BUILDER �� • 5 COMPANY 1/ " <br /> SIGNATURE — / REGISTERED 1 Y / N 1 E CURRENT I Y/ N I <br /> Address 1 l I bi»' , � U b/ ✓; C P�. 34 1& 0 1-C — License # ` Y a 1 2 53 <br /> r <br /> ELECTRICIAN / j��� ' ,V 7 COMPANY <br /> SIGNATURE t/ j /('�!t/� REGISTERED I / N I 0 E CURRENT 1 Y/ N <br /> iir <br /> Address — Lice e # , <br /> .te / —r <br /> PLUMBER / S , . S ` COMPANY V IT <br /> SIGNATURE I/ / REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> w <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 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. (NC 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 />