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813 - 780 -0020 City of Zephyrhills Permit Application 0777 rax -o1 - /CU -UUL <br /> Building Department <br /> Date Received Phone Contact for Permitting P'5 7JF 531 <br /> Owner's Name C(t-/' / Q reftI Owner Phone Number <br /> Owner's Address 3 9'S ' 9 SM ' ` ""/ £r. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �j ,� <br /> JOB ADDRESS 3 9 SS G / 4a ia Dr . LOT # <br /> SUBDIVISION / ' i? (.�.jeJ - ,F-rc . dO-ie PARCEL ID #I 2 V- h �- C O�— ddla0--d ) <br /> ./ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I I SIGN I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL I I OTHER I <br /> DESCRIPTION OF WORK , 9, (fief/ ` X 42-1 <br /> BUILDING SIZE /0 ' X /tJ- SQ FOOTAGE / e�-'0 ri HEIGHT I I <br /> MI BUILDING $ 3 47. ao VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ( <br /> ° ! r7 COMPANY SGL4 c te-4 / t(1ini • C . <br /> SIGNATURE . <br /> BUILDER �. Q-e-A --- ` / I-5 REGISTERED 1 Y/ N I FEE CURRENT I Y / N 1 <br /> Address 6, I s z 1 FOri J i , n i kw 0---14/4 33 s r License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I 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 I FEE CURRENT I Y/ N I <br /> Address 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 />