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813- 780-0020 City of Zephyrhills Permit Application Fax - 813- 780-0021 <br /> Building Department �����,�� � <br /> Date Received �6�' Phone Contact for Permitting i '/' pa – nn � ° 0 U1 <br /> (y � <br /> Owner's Name . Y , L ' \ _ Owner Phone Number d „ .S , r / / <br /> [ / <br /> Owner's Address 1 9 3 E 3 ? ' .4 e O� y' P Phone Number r X Y l <br /> Fee Simple Titleholder Name --, Owner Phone Number <br /> Fee Simple Titleholder Address (J C)/it" Q �`� <br /> JOB ADDRESS I 3' 14 / (7 <br /> ? Z#7d ,5 <br /> 1, 5 'V LOT # q / �7 <br /> SUBDIVISION Irz,1 iJ yha � PARCELID #I 3 ( � – 6 s 009 - 00000 "of !/ • <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ` SFR COMM n OTHER <br /> TYPE OF CONSTRUCTION pi BLOCK 1 --......". FRAME I STEEL n OTHER 1 <br /> DESCRIPTION OF WOR ( K [� v Iy-► ` v� . fl r" 1 e / 1 .FY�. <br /> \o ` ? <br /> BUILDING SIZE TV !` ( SQ FOOTAGE / 0 0 HEIGHT I / ? <br /> r(%r BUILDING $ LtO 00 VALUATION OF TOTAL CONSTRUCTION <br /> II.-- ELECTRICAL $ ! 0 t . AMP SERVICE n PROGRESS ENERGY I W.R.E.C. <br /> ,Z0 o <br /> 1 - 7 .'" PLUMBING $ l O 0 <br /> MECHANICAL $ C) ,, ` {J } VALUATION OF MECHANICAL INSTALLATION <br /> I GAS n "r ROOFING I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nvES I <br /> J� <br /> / <br /> BUILDE �' – ,. •' fiL DAij o -S - SIGNATU . REG FEE CURREN 1 Y / N I <br /> Address '/ AKel i ♦ j License # Llfo0o0.33 <br /> ELECTRICIAN �w / � � ' C OMPANY <br /> �. <br /> SIGNATURE �cyv ., i, f �/ _ REGISTERED Y N CURRENT I Y ! N <br /> Address .WArliM //// License # I c, 13 00 / 9-11 <br /> PLUMBER , �� - COMPANY / /' D- „Ji s <br /> SIGNATURE REGISTERED � / i I o# <br /> FEECURR I Y/N I <br /> r <br /> A ddres y% � NI>� / L I -/- �a000S i <br /> MECHANICAL irege-7.41.,,, / COMPANY *---I ' 1 � vy t S <br /> SIGNATURE , REGISTERED / N E CURRENT Y / N <br /> ■ <br /> Address i •%T1,01. ” 1 1ra License 1 tllV /kg 67 <br /> OTHER COMPANY J <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address License # <br /> . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . <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 /> ........... ............................... <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />