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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> - <br /> Date Received t -- / <br /> Phone Contact for Permittin g 7Z ( <br /> �, t p w \ � ( y, n / <br /> Owner's Name L G,1 N �- C- ,f \ ` J Owner Phone Number # `T J • 0O J <br /> Owner's Address Ilangal Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 11 `J LOT # <br /> SUBDIVISION PARCELID# It'91t0`94I 00 a -o 110 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE ( 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 1 1 COMM n OTHER I l <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME n STEEL 1 1 OTHER 1 l • <br /> DESCRIPTION OF WORK I r Zvr . J e i f • GI.C. -k- uJ , - VZt 0 1( Si <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION 4 +y7777,s-a. k <br /> n ELECTRICAL r AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ //' <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �w ,' // <br /> F-1 ��// �(�/ / <br /> GAS n ROOFING n SPECIALTY OTHER ��^^•• l / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES 1 1N0 " <br /> _ - s . S ® 1 <br /> BUILDER 0 '. � `' _ =',1r COMPANY V3 IF cc O l . ( \�' 1bIV '� S � ` y 1.If` <br /> SIGNATURE REGISTERED Y / N 6(d FEE CURRENT Y / N ' (y <br /> Address 1" /� 1 13 0 # , y\ 1��\ , J e• S"Ce..r -(0 <br /> -f OQ7 3 ICens�# O',�S' 7 if <br /> ELECTRICIAN COMPANY 1 \ o <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N l FEE CURRENT 1 Y/ N <br /> Address License # <br /> (ESIDEN�r1AA , ) 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 NC Fences (PIot/Survey /Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />