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813 - 780 -0020 City of Zephyrhills Permit Application / / Fax- 813- 780 -0021 <br /> Building Department ` <br /> Date Received ^57071 Phone Contact for Permitting -- <br /> tl-ri-tt-I-tt <br /> Owner's Name /I /,J C — /1S / LLC (� I tEP - 612..104 Owner Phone Number <br /> Owner's Address 3 9d02_ L &vk/ U et fy �(J!�d • Owner Phone Number <br /> Fee Simple Titleholder Name l Owner Phone Number <br /> Fee Simple Titleholder Address <br /> G // <br /> JOB ADDRESS 3 9 Oa- L:-ct -vre/ !� // /1 /4o LOT # 3 O <br /> SUBDIVISION in2/e Lc au-J PARCEL ID# Df1 4 ' a L / dUCV 00/00- Od Yd <br /> d (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED F. NEW CONSTR ADD /ALT 1 I SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I 1 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I BLOCK 1 1 FRAME [ STEEL 1 1 OTHER I <br /> DESCRIPTION OF WORK SLe o J A 1-00 04/1/61"/74 + .Lton"e_ 0_4(e_ <br /> BUILDING SIZE J X 3/ SQ FOOTAGE s30 / HEIGHT <br /> [] BUILDING $ 7� 6617 VALUATION OF TOTAL CONSTRUCTION <br /> 11 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> I 1 PLUMBING <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ✓Ol.i <br /> 11 GAS 1 I ROOFING 1 1 SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ( INO <br /> BUILDER ` " ' /4)' <br /> 4 <br /> COMPANY "U Lr/ 1� . 5 ' z t C <br /> SIGNATURE C '\ ` ) .J + � <br /> 1 REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address I (g /� ' ,'1 � (.1 5/2 d e / A/ J4T L- License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N _1 FEE CURRENT I YIN 1 <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 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # F <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />