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813- 780 -0020 City of Zephyrhills Permit Application I -o 10- ,au -uuz i <br /> Building Department 9 , fh <br /> Date Received F( Phone Contact for Permitting <br /> Owner's Name 001 0 /L'/) Owner Phone Number 566 83.--5" <br /> 'c <br /> Owner's Address 3g /Y /' 2t iI4 it � r7Pe l Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �[ /j/J / �) j! <br /> JOB ADDRESS 3 7 /9 "` , 4 / 4 A Pile. LOT # �` CJ <br /> SUBDIVISION Th Z d / 4 /4 <br /> RP PARCEL ID# 0 <br /> O v <br /> Jarf (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Fl NEW CONSTR I I ADD /ALT 1 I SIGN 11 MOVE Q 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 1 1 STEEL I OTHER I tht&e/k'/n I <br /> DESCRIPTION OF WORK lg- ( X 0 L-Q.)Qi <br /> BUILDING SIZE /a-- a -Y r SQ FOOTAGE 62 -ef 94 HEIGHT <br /> BUILDING $ // 000 (1) VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY IX I W.R.E.C, <br /> PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 I I I <br /> SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA I IYES 1 INO <br /> � - Di'24.- 06 <br /> BUILDER COMPANY MOW," <br /> SIGNATURE A9 <br /> REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address ( 3VY / ?L t-[ de,“ , OP/Pe Zr r t / License # <br /> ELECTRICIAN COMPANY 0W/�/ -- ,7 y"` - ""` <br /> SIGNATURE / REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 3 f/Y MO-Wu-4- Qr - 7 4 ` License # <br /> ` ` I . <br /> PLUMBER OMPANY d wkr - 00rn i l / ,(��i/94 <br /> SIGNATURE ,V ,�t,, / /r/ Q -- . //, REGISTERED I Y/ N I FEE CURRENT 1 Y / N I <br /> yf //! (di_ 4r <br /> Address a • > - / J ta Fi ' License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <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, <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/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />