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813- 780 -0020 City of Zephyrhills Permit Application 4, <br /> rax -ts i r , nv -uuz 1 <br /> • Building Department / (13 <br /> Date Received - 7- - 2.2, -- 0 / Phone Contact for Permitting i- 7fJ -' sV <br /> .••• <br /> Owner's Name 8t 6 ,L /x C 2 O no-08h Owner Phone Number <br /> Owner's Address 3 1574 Cl ./1/d Owner Phone Number I I <br /> I <br /> Owner Phone Number I <br /> Fee Simple Titleholder Name' <br /> Fee Simple Titleholder Address I <br /> 3 9,51 6 C`! k./YO i Z---4-40 I LOT # 1 02-2 <br /> JOB ADDRESS / /, l �+ I <br /> /yICf�t �C ddIz 4901, I PARCEL ID#1 o2-y -0 — di— - -ail() <br /> SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED F t i NEW CONSTR I I ADD /ALT I SIGN E] MOVE DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM I 1 OTHER [ <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL [] OTHER I I <br /> DESCRIPTION OF WORK 1 r0017) .-(M-; I <br /> BUILDING SIZE / 0 c )4 02-0 / SQ FOOTAGE I o251° / 1 HEIGHT [ I <br /> ntl BUILDING $ G 5'00. Po VALUATION OF TOTAL CONSTRUCTION <br /> 4 1 ELECTRICAL $ Qp AMP SERVICE PROGRESS ENERGY n W.R.E.C, <br /> I I PLUMBING $o <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' ,.3 i` <br /> -a, <br /> I I GAS 1 I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES ONO <br /> BUILDER v e� " COMPANY O4 V C. 4 Yp .4C // C. <br /> SIGNATURE ----1- 17-4--e"--- A/44- Y.tV /J REGISTERED Y / N FEE CURRENT I Y / N 1 <br /> Address 6,57V / 0/? I4 A_4 G h/ i ,33134 License# <br /> ELECTRICIAN �0 COMPANY di E�� " �" <br /> SIGNATURE ` d' �" " r "V a �� REGISTERED Y / N FEE CURRENT I Y / N I <br /> Address P-0 - &y /S3 ? Z 41/4 33139 License # <br /> PLUMBER <br /> CO <br /> SIGNATURE --- REG ISTERED Y ! -- CURRENT I Y / N <br /> :--• <br /> Address ... _ <br /> -- ' License # <br /> -". -'-. / kIANICAL CO <br /> NATURE REGISTERED I Y/ N I FEE CURRENT <br /> Address _ 1 License # T <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) 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 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 />