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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received ` ^. ' . _ 5 3 -- 71G <br /> 2T <br /> !� Phone Contact for Permittin __ <br /> Owner's Name $ P f: Q p �� • `I.DCA- "t ' YI`" • Owner Phone Number <br /> Owner's Address I (00'4 614 4 ) .kr S - ( Owner Phone Number 1 I <br /> Fee Simple Titleholder Namel N ,,r" I Owner Phone Number I I <br /> Fee Simple Titleholder Address I (N \ ( <br /> JOB ADDRESS I (C4 O'^ ku 41A.S- F • 'S 5 4-�.• I LOT # I <br /> 1 <br /> PARCEL ID #I ©S - � 0t -(_ )rte 'el 1P V ' I <br /> SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I ADD /ALT SIGN MOVE ( 1 DEMOLISH <br /> I , I INSTALL I REPAIR <br /> PROPOSED USE I I SFR I COMM I I OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK t S PY` C�+N \ t.Or,, Nst.d t�J/kt,l..� -w ON �'� `1 . Cctcw-- 6,1:4t-a� 4 -4.'. <br /> BUILDING SIZE SQ FOOTAGE I I HEIGHT I <br /> I 1 BUILDING $ A ` VALUATION OF TOTAL CONSTRUCTION <br /> Fvf ELECTRICAL $ p= A SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 1 PLUMBING $ `r�pp <br /> 1 1 MECHANICAL $ <br /> VALUATION OF MECHANICAL INSTALLATION V <br /> I 1 GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> BUILDER Cp—s COMPANY 1 �S KS �`L v' `C" <br /> SIGNATURE REGISTERED _ air N FEE CURRENT I Y/ N I <br /> Address C. ^� , License # I I <br /> ELECTRICIAN ✓ - � COMPANY S x ' 0 1 N 1' (1). i I • <br /> SIGNATURE ��' - ` • REGISTERED / N I EE CURRENT I Y / N <br /> • <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address 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 1 Y/ N 1 <br /> Address License # F <br /> RESIDENTIAL Attach (2) Plot Hans; (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 /> 1iiii11111111111111111111111111 <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 />