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813- 780 -0020 City of Zephyrhills Permit Application ra b ls- ,ou -uuLI <br /> Aqq-9N1 Building Department <br /> Date Received 0 — 0'24-. 0 Phone Contact for Permitting 113 711 -- 531 V <br /> Owner's Name ke/YY 6a- ei5 eik Owner Phone Number <br /> Owner's Address 3 73 l C OJ O 1s ,✓ ° Ue Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 1 3 734 LcuLti it ,44e n LOT # I 77 <br /> SUBDIVISION " "g el /14/Y PARCEL ID#1 3'_0U -- -dd9d -z - 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I ADD /ALT n SIGN I 1 MO \'E I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 I OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I ( FRAME I I STEEL n OTI-ER I <br /> DESCRIPTION OF WORK Ca-oav f rte /' /) roam 7 14,604 <br /> /o- ` ell . t' A/3 7S <br /> BUILDING SIZE i / " 3 ' Y /OL SQ FOOTAGE /04 d- ` i t , HEIGHT I <br /> LP BUILDING $ 627 MO 0o VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS IENERGY n W.R.E.C. <br /> I I PLUMBING $ 1/ M16-6314 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING l I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES rTNO <br /> W <br /> BUILDER 4(y ...44.01. CoAri- LLB <br /> RE GISTE RE D <br /> SIGNATURE �Cu COMPANY <br /> / I Y/ N I FEE CURRENT I Y/ N I <br /> I y 9 o Zb .401 1`71 Ad Z P1- 1 License# <br /> Address ��//�J// <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURF ENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURF.ENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <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 /> • <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, Stormwatar 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, Stormwatsr Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements rust 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 />