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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> - Building Department -if Date Received I (1°'.5b' Phone Contact for Permitting -- <br /> 111111111111111UJJY <br /> Owner's Name Lictocte Trump Owner Phone Number <br /> Owner's Address 3 9 3? /' 9 4 ✓( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 1 �j' 1 1 <br /> JOB ADDRESS J 3 a 1 r �t- z G e l kg 1 15 LOT # <br /> SUBDIVISION PARCEL ID# /„2 - 2 b - Z 1 - O j" v. -00 v o - 0 0 - 7 7 d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I• COMM 1 I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I 1A 4 STEEL 1 1 OTHER I <br /> DESCRIPTION OF WORK P- t'121.9 T / C2 P^ 1 f/? <br /> BUILDING SIZE SQ FOOTAGE I / to 5 HEIGHT <br /> BUILDING $ .3 S-5-0 ` d u VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ J AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> I PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> • <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address c �_r License # <br /> OTHER COMPANY ' F LET 6 �' a (Y \ r 1.- <br /> i <br /> SIGNATURE / C/ REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address pO 6tx f In Soh. Alt. Gib kr. F-1 33,-7 License# ( C Cf 'S7i 7 <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 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 />