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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Mod 3 <br /> Date Received 6 -1 V t Phone Contact for Permitting St 3 "i'o"c -- " j'4Sa- <br /> Owner's Name Richt/Kb t PLey Owner Phone Number &J JFF '043 <br /> 3 <br /> Owner's Address ,39Y18 7 4I e4€i€/ Zt, Owner Phone Number <br /> Fee Simple Titleholder Name / iC/944 20 Ve.ey Owner Phone Number <br /> Fee Simple Titleholder Address 3 7//5 �� Lev/ .p2hlyivzis 6- 3FS32 <br /> JOB ADDRESS 371//g 7464-13eAity teof LOT # .(3 <br /> SUBDIVISION Wed. ,W4DQr /1/446•4 PARCEL ID# 4-46 – 4j..- -.512x0- C"1.30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM n OTHER I I <br /> TYPE OF CONSTRUCTION [ BLOCK -raw FRAME 1 1 STEEL n OTHER <br /> DESCRIPTION OF WORK Rera 0OF "' - 761-a. 1—a. OE --- kreu.S sj-t i 1SCCL S <br /> BUILDING SIZE i SQ FOOTAGE 4itte7 HEIGHT / 5m - <br /> r i BUILDING $ i O^O VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.0 <br /> PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS ilf ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES LINO <br /> BUILDER /� 9 11/4! COMPANY P) R. W Wood <br /> SIGNATURE • K r1 /�, REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address a« E & S -#3 �I} v 4 336/3 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <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, 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 />