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813 -780 -0020 City of Zephyrhills Permit Application j ✓I Cf <br /> rax- ai r - you - uuZ I <br /> Building Department Li <br /> Date Received Phone Contact for Permitting d 3 71 -- `ANY <br /> • <br /> T <br /> Owner's Name Coo l Owner Phone Number <br /> fag aell / 10 I Owner Phone Number 1 P 3 7,4 7/17 <br /> Owner's Address 1 � <br /> Owner Phone Number 1 <br /> Fee Simple Titleholder Name1 <br /> ( <br /> Fee Simple Titleholder Address I l p e <br /> p �/ I LOT # I <br /> JOB ADDRESS 1 (Yd �a — G'� , / 1 � A ,, 9C } � 0/510 <br /> em Cd I PAR CEL ID # 1 00) — ) 4 —01 v 0-60 <br /> SUBDIVISION I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED <br /> NE W CONSTR I I ADD /ALT 1 I SIGN I I MOVE I 1 DEMOLISH INSTALL REPAIR ,, / y <br /> PROPOSED USE I I SFR I I COMM 1 1 OTHER 1 Q ��c/1f APO I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL 11 OTHER 1 I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 1 /0i! r x off-/ 1 I SQ FOOTAGE I bla T 1 HEIGHT I I <br /> Iv <br /> RA BUILDING l p: OWO VALUATION OF TOTAL CONSTRUCTION <br /> Cyj ELECTRICAL $ 1 OW AMP SERVICE PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ . r' r,c :i i ..�...= Niaa <br /> 01:11 /rib-5314 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 _ , .t 7 r l/ <br /> I 1 GAS 1 I ROOFING 1 I SPECIALTY 1 1 OTHER FIN() OIL � i v--71/ <br /> �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 I YES I I q <br /> BUILDER R COMPANY I 'ahl' (s /.. - - I <br /> SIGNATURE 7 d�G' "r^ L,7 REGISTERED I Y / N I FEE CURRENT I Y / N <br /> � � 4�64j KO' 7,,,p, ?Aar License # 1 <br /> Address `'�'-� <br /> ELECTRICIAN 3 ( COMPANY 1 <br /> SIGNATURE <br /> REGISTERED I Y/ N I FEE CIARENT I Y/ N 1 <br /> Address 41 Of O 22/6667k /• License # 1 <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address 1 License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # 1 <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) 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 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 />