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813 -780 -0020 City of Zephyrhills Hermit Application r-ax -o iss- /ou -uue I <br /> Building Department *' 00 B 'v <br /> Date Received v _ ___ -8A -- _ I A <br /> Phone Contact for Permitting (0�1 / <br /> Owner's Name t al , f? 1 Q rl' ►OPliftl OwviWS Q ' Owner Phone Number 0 v D -3 <br /> Owner's Address IQ001 { S-1 • (4Q 4 \ici u...19....1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS So +A'1 Q - LOT # <br /> SUBDIVISION 61/nil/at, k POLVI -Q (kV PARCEL ID# .9`t 30 rr ` -(Jt ao -Q -OO G� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT F SN I 1 MOVE I I DEMOLISH . <br /> INSTALL REPAIR Q�ro <br /> PROPOSED USE I I SFR COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION XI BLOCK I I FRAME I I STEEL 1 I OTHER I <br /> �. <br /> DESCRIPTION OF WORK u�Y tiff sk 1n(2S � knS , f(�1�� rn �I - a-A V� <br /> BUILDING SIZE SQ FOOTAGE t 30 HEIGHT <br /> BUILDING $ / 9 • G .p o ' VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ IQ o AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 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 <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/ N I <br /> Address gjIIIIMIIIIIIIIMIEIIrnnllIllIll License # <br /> - -- • <br /> ER i + _ ,Ar, ROC11`kvi c_ <br /> S ► . `� , ` /, -' REGISTERED W ' / N FEE CURRENT ' I Y / N 1 <br /> Address 3 (o(4 ! 5(E ' <br /> � . 4 1 OS License # IG I ):::5SQ5 <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 />