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813 -780 -0020 City of Zephyrhills Permit Application ,,:, ( , Fax -813- 780 -0021 <br /> Building Department 1 j ( NJ <br /> Date Received P Phone Contact for Permitting <br /> $l3 4.a -- Q2 ` <br /> '',.// ��%�,�� Ban NA Owner Phone Number <br /> Owner's Name WQ * / i� 1 � 7,, 6 <br /> Owner's Address Op/Art + �• 'RJR+ Vt `� I "caner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �' ^#// / <br /> JOB ADDRESS 7# v(�( /� $ t . EfvI LOT # <br /> SUBDIVISION City of 2P � y(i47Z) PARCEL ID# 35 J 52 O3 - OO oaa va v (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED WA NEW CONSTR I I ADD /ALT I SIGN I 1 MOVE I I DEMOLISH <br /> NI INSTALL REPAIR <br /> PROPOSED USE I I SFR E COMM I 1 OTHER I <br /> TYPE OF CONSTRUCTION ® BLOCK I I FRAME I 1 STEEL I I OTHER I <br /> DESCRIPTION OF WORK NOV rc k fnnff /� wall <br /> J y <br /> BUILDING SIZE SQ FOOTAGE SAO HEIG 1/ , <br /> I x I BUILDING $ r is %' JO/ 506 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ ` AMP SERVICE I I PROGRESS ENERGY Is W.R.E.C. <br /> • <br /> I PLUMBING $ <br /> ,-__.. 40C...- '''' , C)1� <br /> I ` v • <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLAT •N U <br /> I I GAS I I ROOFING I I SPECIALTY I 1 OTHER I 0 V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES OM <br /> L <br /> BUILDER COMPANY 1000e ./ r �C�i� �i / Ch <br /> SIGNATURE i / REGISTERED Y / N FEE CURRENT Y / N <br /> Address 1 2 Wes lei Chapel Ned, LA, / F 33c51 License # CSC -120:373 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <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 I FEE CURRENT I Y/ N I <br /> Address License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # F 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) 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 />