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813 - 780 - 00200 �, ,: -ity of Zephyrhills Permit Application /_� Fax - 813 - 780 -0021 <br /> /11-'61 Ll� yl , � j 0".!`' • 5 / 1� /- 1 Building Departmen YJ <br /> Date Received //- / / 3 <br /> Phone Contact for Permitting i/3 7fi - -s l <br /> -- <br /> Owners Name '/ll 6/7 7 / L - aM"e- Owner Phone Number <br /> — <br /> Owner's Address 373 / 6C,LC&- 1)(ccot DAV "'r - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 731 C al a.mmo/ Nr • LOT # 02-VI <br /> SUBDIVISION 0 QJ -- d& J /e' PARCEL ID# 0' — e4 - v Od� dc' / 00- GV9 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED E NEW CONSTR ADD /ALT I SIGN 1 I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION I BLOCK L I FRAME 1 I '! STEEL I I OTHERS <br /> DESCRIPTION OF WORK 0 Pa17 f Jl d [ e . g <br /> e l C 1 c4 <br /> 4,,d /eL t Alf , <br /> BUILDING SIZE Crvvort/ ( 4 0 y / . SQ FOOTAGE • d rG�i IU 111 HEIGHT <br /> MI BUILDING $ 7 i / 0) VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ PASCp PERMIT SERVICE <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION F 1 788.6314 <br /> ' - 7894 <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA I IYES 1 INO <br /> BUILDER CC / j r l 0S, COMPANY �c� ` V C- - <br /> SIGNATURE , ` S� J b REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address ( /5Y F i'/ le (*Ai IW � Ze fl,r c) r F/ • 3 44� License # <br /> ELECTRICIAN • COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I `ON I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address f 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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIII N 111111I III1IIIIIIIIIIIIli1II1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIi <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 /> • <br />