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813-780 -0020 City of Zephyrhills Permit Application 1*(0; ))1 Fax -813- 780 -0021 <br /> Building Department �■■ <br /> Date Received Ci 53 4 ? O'V <br /> Phone Contact for Permitting 7 G �/ <br /> Owner's Nam �!G /O/j/GS/J /T94 G f'y�/ / �S /A/ / Q- - G T�� <br /> / Owner Phone Number <br /> Owner's Address 7 0 - 5-0 v4 /J Zvi Z Y / //09 /a!" fi, Owner Phone Number <br /> F ee Simple Titleholder Name /c/4 Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> • <br /> JOB ADDRESS 7O-rO 6 r44 - , 4C/4 Ze7 -)/ /y/e, //Z.( C. 3fs r7 LOT # <br /> SUBDIVISION PARCEL ID# do? w a ‘ - - C01'rdv - 0(13 o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED N NEW CONSTR ADD /ALT SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR I I COMM 4 OTHER I „y‘ "--, ,/ L <br /> TYPE OF CONSTRUCTION 1 I BLOCK [ I FRAME / I1 STEEL n OTHER I [/� <br /> L' <br /> DESCRIPTION OF WORK L/ /f77 3 4-<./4._ s S /C7,VS /1C/�/4/f « 4f7 /, 6476,se, <br /> /°7 5 7 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ / /7 QQ VALUATION OF TOTAL CONSTRUCTION <br /> 4 ELECTRICAL $ CiAMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FIQD ZONE AREA 1 IVES =NO <br /> , <br /> BUILDER I l 1' 1 '" • , COMPANY /N o” 4/7a/s/-1 S /G (c'k <br /> SIGNATURE REGISTERED X11/ N FEE CURRENT / N I <br /> Address L/O,fC,/ `/ A/ / — / / 2 O / i. ?2A License # f3 0000000 j <br /> ELECTRICIAN r ) 1 1 1 ` COMPANY 7v � "`� 4,//d /4� ' /fi �� ( ZA/ 0 <br /> SIGNATURE w /� / /� REGISTERED (1)±\1_1 FEE CURRENT (, N <br /> Address X01'3 /Lf {. / 3 7 /4 / i:.'3?27 License# �`s0000003 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I 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 o' 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 />