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J� <br /> 813- 780 -0020 City of Zephyrhills Permit Application r l� l ��/r <br /> Fax -813- 780 -0021 <br /> Building Department T <br /> Date Received g r 1' Phone Contact for Permitting <br /> / <br /> Owner's Name l ' G+0 -4r1S+1YvG ("!RXr► Owner Phone Number <br /> Owner's Address i0) ., - r`hot 0,rvieJLita r C (i 0....1" Owner Phone Number <br /> © 4#05/ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS / 37 1 i 2. , xl eu.�(On,� A� LOT # 35 <br /> SUBDIVISION /C0.AJ 14oI0, T17 PARCELID# 34- a 5.. -.)I -GM80 - b0000 ^ 35 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED r✓ NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I-1 COMM n OTHER I I <br /> TYPE OF CONSTRUCTION I BLOCK [n FRAME n STEEL n OTHER I I <br /> "�, � <br /> DESCRIPTION OF WORK t44 <br /> haw. ��, I . M r p j 1. e d • - r o rT <br /> BUILDING SIZE SO FOOTAGE 1;4 HEIGHT <br /> BUILDING I$31303 l VALUATION OF TOTAL CONSTRUCTION <br /> E LECTRICAL $ i AMP SERVICE I PROGRESS ENERGY [I W.R.E.C. <br /> F PLUMBING $ <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> F GAS n ROOFING I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA InYES f No <br /> BUILDER A //// Imo/(/ 2- I COMPANY 1 Coma} t.-I- t r� of. C,�, ( Ft (k. <br /> SIGNATURE /� REGISTERED <br /> �/ ,/I �'' I�/ N I FEE CURRENT Y / N <br /> Address I yoX Opus -,e . r Avrias 3 __fLr3 License# (1. 7 , <br /> $-. <br /> ELECTRICIAN WY 1 � COMPANY (�lJ ¥/ N �>,FE �(�( /� ' <br /> SIGNATIGNAT URRE / / REGISTERED I Y/ N FEE CURRENT Y / N 'L 3 <br /> Address -i, ,WS3 <br /> 0417 ZgFhyrt1 t [ ` .S i pi 3x53 License # t j �,00Da 'I7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 <br /> 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> 1 License # <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. (A/C upgrades over $5000) <br /> Agent (for the contractor) or Power of Attomey (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 />