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813-780 -0020 City of Zephyrhills Permit Application G o Fax -813- 780 -0021 <br /> Building Department <br /> Date Received i' - Phone Con. ct for Permitting P,_.3 2H __ 3 l V <br /> 111111111111111. 111)i_1f7 _ <br /> Owner's Name % C r/tam J 4e \_ Owner Phone Number J /9 —' ' 5-0 j - 96 /f <br /> Owner's Addr4s 3S-d -1 flyrL k 6rii , Owner Phone Number <br /> Fee Simple Ti Name 4/ Owner Phone Number <br /> ' <br /> Fee Simple Tit holder Address ,�/ <br /> \ V/ <br /> JOB ADDRESS �. <br /> a-/ PyrL 6 ry LOT # X3°6 <br /> SUBDIVISION ZL E a MA PARCEL ID# 02 r OWv d 3 c <br /> _ _ -- -- (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE 1 1 DEMOLISH <br /> n INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM 1 1 OTHER I ( <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME 1 1 STEEL I I OTHER <br /> DESCRIPTION OF WORK 162- ' x 7 '/ / i / C a tu <br /> BUILDING SIZE 4 f X Vol- J SQ FOOTAGE Sd 7 C HEIGHT <br /> CV BUILDING $ /4, 006 Q() VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY CO W.R.E.C. <br /> 1 1 PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 7YES El NO • <br /> BUILDER �CLC/ � C OMPANY aorta /- Car�P�t (IY�i� <br /> SIGNATURE f k ( / REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address 3.-5 + Dr . 7.994 .CLN f • License # <br /> ✓ ✓J VMr Ccr/ea., J4.te <br /> ELECTRICIAN e //4 1J 1S ` COMPANY 06 <br /> SIGNATURE / REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 3,s' / Py rat I2r . Ze /011- / 4 Ft License # <br /> PLUMBER 6( 1 l 1.� \� , '� COMPANY Qum) - �4 kA Cr �'2-' <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address 42�,-! P b oor, , Ze D 4 r /Id II "". 1 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 1 FEE CURRENT I Y/ N 1 <br /> Address License # <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 />