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813 - 780 -0020 City of Zephyrhills Hermit Application , I.]- eau -UUL 1 <br /> Building Department 1 0 0 ( ,eF <br /> Date Received Phone Contact for Permitting 8 \S 0 7 -- 07 RS <br /> Owner's Name P,t t(,GCC .\ ( \- . Owner Phone Number <br /> • <br /> Owner's Address LcolCii'l \--\CtMA Owner Phone Number <br /> Fee Simple Titleholder Name c,1_0,-C_ Owner Phone Number <br /> Fee Simple Titleholder Address ��� r <br /> JOB ADDRESS o✓"+3 W,cce.� CA./0 � LOT # <br /> SUBDIVISION PARCEL ID# 01-2G -QtO . OGA <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK f I FRAME I I STEEL 1 1 OTHER I I <br /> DESCRIPTION OF WORK gt.7(,J'Y MC�tJ t9...)s. l (cc <br /> -- ?Aci`ZA- ('G-4c0u,,C,G.4 . <br /> BUILDING SIZE SQ FOOTAGE 493(493(Cod 2 �W HEIGHT 9 f f t <br /> v. I BUILDING $ O , % k 3 " ; 1 7 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ "�-� 7 AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ i ,... <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION V L.-1 J <br /> 1 1 GAS ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> k ■•■.• ■■ <br /> BUILDER 1, `:).9 - COMPANY ft (c)nSf N c f .'n ge<Ne «. <br /> SIGNATURE REGISTERED © N FEE CURRENT I YIN I <br /> eee. 3 z <br /> Address k - Lf , \ &(cS - 04.14. . �p..,4 c , L 3356E1 License # <br /> ELECTRICIAN • COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED ( 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 I <br /> Address I License # <br /> OTHER COMPANY NA C S' - on < ' Z '4% Cs <br /> SIGNATURE REGISTERED I ) N FEE CURRENT 1 Y/ N I <br /> Address IS\t f , ..0 . L.. 3 License # . % 3a-f fa • <br /> _ , <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 />