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813 - 780 -0020 City of Zephyrhills Permit Application / 3 Fax -813- 780 -0021 <br /> Budding Department — 3� <br /> Date Received -- © �� ��T �� <br /> Phone Contact for Permitting <br /> Owner's Name G L Ul ^ -,G lr- t K li' L2 / K _YEE Owne Phone Number p j � 7 a ( l s <br /> Owner's Address 3 9 6, 5 0 1'1't -� %b L / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS 3 q 6, $ C Al i-Act ec7c D 2._,0 p LOT # <br /> SUBDIVISION PARCEL ID# 1 3 -Z' `z / -.3/' c - c-1- - 7C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR I I COMM n OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL n OTHER 1 I <br /> DESCRIPTION OF WORK N S i z-/- 5-16 /A>? S h�� <br /> BUILDING SIZE 0 x (E, SQ FOOTAGE / HEIGHT ( r <br /> BUILDING $ (/ l r qC, VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ , <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS I 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS •OD ZONE AREA I 'YES [I NO <br /> BUILDER c = L , I� MI to , <br /> COMPANY W NS�� �/�/»� t " � <br /> SIGNATURE r %aeJ I /- REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 3/ &/8 � � �-- gz.ii0- �' 2 V(^ 4f 1(s I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 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) 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 />