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.._. .:..:.. <br /> 813 -780 -0020 City of Zephyrhills Permit Application Fax 813 Sao 0021 <br /> Building Department / <br /> "r 5 rMilaflt ., <br /> Date Received 1 -- 1 3 Phone Contact for Perm Apiumil <br /> Owner's Name U " Y 4 R1' 'ry E. 1� -tr 0 , • - r Phone Number r <br /> r�7 —. 4-� ') �.. � - �� " ! `. 3 4 n re Phone Number <br /> Owner's Address L `� -'� �` <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4 �= 2 1 3 Erik St 7r li S F l -3&5t7---1 LOT # <br /> SUBDIVISION PARCEL ID# I 1 M � '� Li ' - — —COVV:" <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT ( I SIGN 1 1 MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I X I SFR 1 1 COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME n STEEL 1 O HER 1 I <br /> DESCRIPTION OF WORKh fi C 4 Z ��C _rs <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I BUILDING $ it 20 gem-- VALUATION OF TOTAL CONSTRUCTION g� <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.0 <br /> PLUMBING $ <br /> /0 e I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /_ <br /> f <br /> f eI ( <br /> I GAS 11 ROOFING 1 1 SPECIALTY 1 I OTHER 0 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES [NO <br /> BUILDER rr _ COMPANY T-12`-\,1 6 l <- a <br /> SIGNATURE < V �- " , REGISTERED I Y/ I FEE C I Y/ N <br /> Address License# C- 01 Z.3 I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 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 # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address 1 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 />