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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department --W 90 q <br /> �, <br /> Date Received • f /— 0 Phone Contact for Permitting 51 / -- AO <br /> Owner's Name g) (° Y Y` ird ±C...,l f ; 1.1 'ra - (r If() a Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name, Owner Phone Number <br /> Fee Simple Titleholder Address n <br /> JOB ADDRESS , ,1 S3 O� ( k I- U c. LOT # ■1 .� <br /> SUBDIVISION ILc) fa y 1 k ( ) ( , 71)("f' ' PARCEL ID# * ,g 5 -(91 - 0 f30 -- X Yi.- ( . J 15 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Elif NEW CONSTR ADD /ALT r SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM 1 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION I I BLOCK r •e.... •e.... OCK I 1 FRAME 1 1 STEEL 1 1 OTHER <br /> f R )� /e <br /> DESCRIPTION OF WORK Y , \ j ) r R\(A tO{ <br /> BUILDING SIZE L f p('L1b SQ FOOTAGE ) i(C0 HEIGHT <br /> I I BUILDING $ C Soo . 00 VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ j r 5 ,CEO AMP SERVICE PROGRESS ENERG Y� 1 1 W.R.E.0 <br /> / . <br /> ,� <br /> PLUMBING $ <br /> 5 SO . / I} 1 <br /> c :)cam <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI N <br /> 11 GAS I 1 ROOFING 1 1 SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES ENO <br /> BUILDER , , .. COMPANY I-) (n . 4... <br /> SIGNATURE Q ,i . lb cr, r UL REGISTERED Y / N 1 LL <br /> ) FEE CURRENT 1 Y/ N <br /> Address IIIIJJJJ {''`NZ`i _ , - (1 > License # I.r I -- L) <br /> SIGNATURE ( j 2 ; JL C tz_ <br /> ` ` <br /> - COMPANY C T FEE ( <br /> CURRENT 1 Y N 1 <br /> REGISTERED <br /> Address aG9 l ) l �* k {) ,. ! ^ f - 3 4 License # CI-C OO dt r `-f 3 <br /> PLUMBER (( 36 �, n A COMPANY rnr, L --L�.. <br /> SIGNATURE % J . V l� ` REGISTERED Y <br /> T i Y/ N 1 FEE CURRENT 1 +v / N 1 y� q <br /> t <br /> • - • e C ( V License # L!--44 -ern) /` ( q <br /> Address `�%�, �( `.J _ - • I <br /> MECHANICAL ( COMPANY h e5 <br /> SIGNATURE <br /> MECHANICAL <br /> ), �� REGISTERED PYIN FEE CURRENT I Y / N 1 <br /> Address Ligq) Ak 0 ` . C.'4.■- 11t, - 35" I License # 1... Ll_ J `C4—I q eiT <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />