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813 - 780 -0020 City of Zephyrhills Permit Application 9 3 Fax -813- 780 -0021 <br /> Building Department <br /> Date Received •f - / 0t Phone Contact for Permitting 1 - -- <br /> Owner's Name `--1 i`6 (1 Owner Phone Number <br /> Owner's Address 29 g f Ya.() NCI„ ‘C ) -e. hoe - Owner Phone Number <br /> Fee Simple Titleholder Name / Owner Phone Number <br /> Fee Simple Titleholder Address � ( /� CO <br /> JOB ADDRESS - )9 7 , 9 I r 1 C- tV t hy' J �-- l p , LOT # 5V <br /> SUBDIVISION C'3 t \rd 'T i i "I_C' PARCEL ID# 795 rg I ' 130 - - ` , G� <br /> (OBTAINED FROM PROPERTY T AX NOTICE) <br /> WORK PROPOSED WA NEW CONSTR ADD /ALT I I SIGN n MOVE I I DEMOLISH <br /> Kg INSTALL REPAIR <br /> PROPOSED USE Ell SFR I I COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION 1 I BLOCK I I FRAME 11 STEEL n OTHER S i �1 <br /> DESCRIPTION OF WORK V cc \ - r 1� 1 \ \04 t J <br /> BUILDING SIZE 4 a XL\ C) SQ FOOTAGE 11 VL'�"' HEIGHT <br /> I BUILDING $) VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ \ I ^ c0 , Oc) AMP SERVICE I 1 PROGRESS ENERGY n .R.E.C. <br /> 1 I PLUMBING $ L \ob • 06 C 4 , <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ► " / <br /> + �, <br /> � ti <br /> I I GAS 1 1 ROOFING I 1 SPECIALTY I 1 OTHER 4� i'`1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES lb NO <br /> lt.i <br /> ,•5 <br /> BUILDER S .J,S� COMPANY 6 -U-- 2- LC.> <br /> SIGNATURE J VlY\ 62da_...Q.__k_. I Y/ N I FEE CURRENT I Y / N l <br /> Address 5 ltSt:l1U1 _ 1I . 55 4- /i 0) Lic -. e . .�-/) - G7C /-"-� <br /> / / i_iifiswir /�iii� r/ <br /> Olt" 7 . ' F fr' I U ' • . /1. / 1 <br /> ELECTRICIAN �� ,� _" /� ( ' COMPA <br /> SIGNATURE REGISTERED I / Y N I FEE CURRENT I Y /N ( <br /> W • <br /> Address (,090 40 e; E)16. /e f (� cl - t it `� 15G -1 License # ar DI�� vj/ <br /> PLUMBER 1 COMPANY 8� + /,1 (_/!�V <br /> SIGNATURE j \ � �', X ___ ' REGISTERED I Y / N l FEE CURRENT I Y / N 1 <br /> Address r" Y1 1 i ' Sie. Lt o l ` ' •540 License # rIl cr -) / " <br /> MECHANICAL COMPANY <br /> ��'� ( J� h t' <br /> SIGNATURE Il 't ` �� REGISTERED Y / N I FEE CURRENT I Y/ N I <br /> Address -1(4 ` l 1 0-14,A 6 2. I` , 3 J `)St-. License # ( 60 0 - L , t 1 r U <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <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) 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 />