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813 - 780 -0020 City of Zephyrhills Permit Application J( to (03 Fax -813- 780 -0021 <br /> Building Department U <br /> Date Received (7? -- j ) ' Phone Contact for Permitting 1 1 3 - 7f8 ' -- 595 <br /> 111111111111111 C.14 -- __ -- <br /> Owner's Name f - � p ( ,t tL / �� � �K� .- i <br /> �/ Owner Phone Number 113' a6" ' <br /> Owner's Address 3 Ir� '7 `p / 1 1 AL' Owner Phone Number /3 - £9'7_ 74 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,L / /1 <br /> JOB ADDRESS 3 t O 6 T /' H' '" LOT # <br /> SUBDIVISION PARCEL ID# ( oC(O —. i-- ' 1C7- O -z7ar -.R.3Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 1 COMM I 1 OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK . C, L4- s'- PA 6 e_ s. hic-5. p <br /> BUILDING SIZE / -x /R SQ FOOTAGE ,/••Q 1 HEIGHT / 0 / <br /> BUILDING $ a s / ,°-= VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 I W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES El <br /> / i <br /> Ii. <br /> BUILDER # C'1..v0as l l�s <br /> SIGNATURE -� - "Pr <br /> A./19,A oiAIDu5'a/+ <br /> 16, '; c� AS <br /> REGISTERED I Y/ N FEE CURRENT Y/ N I <br /> Address S/ 'r c 446 871/0 zeph fia I6 � License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I 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 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />