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813 - 780 -0020 City of Zephyrhills Permit Application t 'to ° -0 Fax- 813 - 780 -0021 <br /> Building Department ,f I j f (1 <br /> Date Received i — G -.1 0 % 1 (c(7; Me <br /> Phone Contact for Permitting <br /> mittittottaamailittailw <br /> Owner's Name FRG-v I(Z DE( 1 crvtc.- Owner Phone Number - ))- C Z 9R Z. <br /> Owner's Address c /d C -'� ^�E c P410,)A Gc:.1E - f 1 �s(l t S L'-' 3 c) ' U <br /> ftAt,nM. >FL"�r; (1 t Owner Phone Number [ __- <br /> Fee Simple Titleholder Name Owner Phone Number [ —�- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS "tit S GA(( Y3 G 1 LOT # <br /> SUBDIVISION PARCEL ID# 3 ZS 21 0 1 I (') GeD a 6d (Do - d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I I COMM I OTHER I <br /> TYPE OF CONSTRUCTION I BLOCK {� I FRAME n STEEL 1 OTHEF I <br /> DESCRIPTION OF WORK C( €C tthc1 (E.11 C's SR{ 12r f ac-,-"t" > ��( J3 RE / 44P c . 0 1 j� r\(uCT.v �!�G' ?Z.! <br /> 1 IJ <br /> BUILDING SIZE SQ FOOTAGE ( ` F 4 dtO ( HEIGHT <br /> L .................. , 4. m.....,.. ^...m <br /> BUILDING $ 1 S cr,...z, <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ c71-) rL� S AMP SERVICE 1 I PROGRESS ENERGY I W.R.E.C. <br /> I I PLUMBING $ <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS I I ROOFING 1 I SPECIALTY IT OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO <br /> / " 'i'A/%'�" '/'' - . • t f <br /> �� 1 <br /> SIGNATURE Will, PG(.")€ lc 1 ` t1 COMPANY REGISTERED G� Y 5� I FEE C � CU � E � N � y�N <br /> / I <br /> Address —27 2. go 3 A S ► License # t__ S d <br /> d <br /> ELECTRICIAN (� ' Li /fr COMPANY 6 0 E . 7 �JZX )L --/ �- <br /> SIGNATURE S 4- , , 1 P�)C. 1.1 I REGISTERED 1 Y / N ( FEE CURRENT 1 Y / N <br /> Address 7 7 o os 3 ( J -- co- \p 3 License # [Z- -S c=ac:el, Clibl <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address r <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N <br /> Address License # r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address 7 License # p <br /> iffiffillIEBNIMEIffilmatffigjamig <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new constructic n, <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 /> 1 F <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 authorizir g 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 />