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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780- 0021 44 0 Building Department <br /> Date Received /7'19 C/ Phone Contact for Permitting 1 'L-S - I 1 <br /> Owners Name � / ( /i) S I Owner Phone ber ) <br /> Owners Address • / ` DO 6/7 LI/ • ' I/,' /•c+e is Phone Number <br /> Fee Simple Titleholder Name 1 Owner Phone Number I <br /> Fee Simple Titleholder Address I I <br /> ) / <br /> JOB ADDRESS 5 7 06 o L L /� L v y f� /L � U�IL LOT # <br /> SUBDIVISION I PARCELID#) I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED �f NEW CONSTR H ADD /ALT Q SIGN Q MOVE n DEMOLISH <br /> H INSTALL REPAIR <br /> PROPOSED USE I—I SFR I-1 COMM I OTHER <br /> TYPE OF CONSTRUCTION n BLOCK � I 1 FRAME r- p STEEL OTHER 1 I <br /> DESCRIPTION OF WORK /iii 5,TT I C C/iU sV, �% L' /L L ✓ - C7 <br /> BUILDING SIZE SCI FOOTAGE _ HEIGHT <br /> [ ✓�^ BUILDING $ / �7 Lt O VALU OF TOTAL CONSTRUCTION <br /> i -/j ELECTRICAL $ `�� r r --r - . AMP SERVICE I PROGRESS ENERGY n W.R.E.C. <br /> I PLUMBING $ '4/Z.)6-IA' <br /> (1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS n ROOFING n SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES I <br /> BUILDER ?' WIPAMMII COMPANY 4 /)' F l /2 ( 7 7'c. / 0 <br /> SIGNATURE 1 REGISTERED Y / N I FEE CURRENT Y / N <br /> Address 1111111111111111 Licenser 127v 9 U 7 71 <br /> N <br /> s� .. Ar _ <br /> ELECTRICIAN COMPANY Y ` , 1 ' / >/. t e , 77,7 �� % ci <br /> SIGNATURE REGISTERED I 1 N I FEE CURRENT I Y/ N 1 <br /> Address License* <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address ( 1 License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED I Y 1 N I FEE CURRENT I Y/ N 1 <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, Stoimwater 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, Stommvater 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 82500, a Notice of Commencement is required. (A/C upgrades over $6000) <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 NC Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />