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. 813 - 780-0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department F, <br /> • <br /> Date Received I 7 -2_ [CO -09 Phone Contact for Permitting - I ' ! /tall// // `t{J <br /> Owners Name n V / L (.._ G Owner Phone Number ty / �� - V 9 - S SDK r <br /> Owners Address 5 J . ( e 4" 10 e 4 - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �C / ( / � <br /> Z � <br /> JOB ADDRESS 7 3 o 6-*t -L A / L)2 LOT # / LI <br /> 1 ( Q i '1/ 1M1 . Acj (PARCEL -;?/ -6/36 -- - /OU <br /> SUBDIVISION I ,,- <br /> .J (OBTAINED RO TY TAX NOTICE) <br /> WORK PROPOSED CONSTR ADD /ALT I i SIGN MOVE n DEMOLISH <br /> INSTALL RE AIR <br /> PROPOSED USE n SFR COMM n OTHER I 1 <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL Q OTHER I y/� / 1 1 (,/ <br /> DESCRIPTION OF WORK /K. S ti / Il hf T S G t ( / KtAJGdS(� / / 314 <br /> BUILDING SIZE f SQ FOOTAGE . .3 6' 67 ( HEIGHT 3 /-s4 <br /> 1/ , /u � 7 � / g it /z /l <br /> I Oa. .. . -... • ., a 7/ 2t_ . ,e4A_JE den. 'r <br /> I BUILDING $ i G q. -111-.' VALUATION OF TOTAL CONSTRUCTION u)/4 -CC. S / 6- JS / O <br /> n ELECTRICAL $ Q 7y D - � 5 .� AMP SERVICE n PROGRESS ENERGY = W.R.E.C. �� C �l 5 <br /> (J • S A/' <br /> n PLUMBING $ oY LJl <br /> ;j' / o ' < , <br /> n MECHANICAL / VALUATION OF MECHANICAL INSTALLATION 1 (V1 u•J t ` � V/ / t/ j-( e / 77- c <br /> n GAS n ROOFING In SPECIALTY n OTHER CUfXJ' / <br /> FINISHED FLOOR ELEVATIONS / FLOOD ZONE AREA nYES nN0 I-' <br /> / r ` / /, <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I I <br /> MECHANICAL MPA <br /> SIGNATURE GISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 1/1 � License # I <br /> OTHER I 1 7 COMPANY ! ie. Si ' s (-)C SIGNATURE `� L� =....... REGISTERED MTh F URR T UMW <br /> Address ,,_ Vim. j arW i . - 1 License# 1 E S 0 0 COO ? <br /> 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. (AIC 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />