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813- 780 -0020 4 41 City of Zephyrhills Permit Application i f 10 11 lFax -813- 780 -0021 <br /> C Building Department <br /> . .A. I ' Cral- e t- ,4 13°- <br /> Date Received q 4 -9 j 3R ( - 7s� Phone Contact for Permittin. -- ` -10110 <br /> Owner's Name FF & f ; e 4` a ve ( L-4 Owner Phone Number (?C5 J G - J - 9 99 j Owner's Address 1,501 �j <br /> L ii 3 -" •Yr 6 / (zit,t Pi. -731 d9I Owner Phone Number A/ /« <br /> V <br /> Fee Simple Titleholder Name A/ /0— <br /> Owner Phone Number H <br /> Fee Simple Titleholder Address NCb <br /> JOB ADDRESS -- 7 /-g". ( I I Tif v (. ' LOT # <br /> SUBDIVISION PARCEL ID# .� /7 -- .3 g - ) 1 - 0 f 10 C>C ' 7 -: -> �' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT SIGN I MOVE I I DEMOLISH <br /> rr <br /> I ?c I INSTALL A�,:n,�8 I I REPAIR 4 <br /> PROPOSED USE I I SFR `J I X l COMM 1 I OTHER I I <br /> TYPE OF CONSTRUCTION I 5 BLOCK I I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK J ,\ 5/-o.I I AlvtinsAu c tvc-e /LW A 4 F0 C-OVE) <br /> Aux S zrr L i i X X / (Y I SQ FOOTAGE / 05 I HEIGHT 1 P- <br /> . :..... • ....• €€€�tttt € € €€ €r €tutttt€ t €ftfttt€€r € <br /> . <br /> p BUILDING I$ i � ' ,rt 17 I VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ l I AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> 1 <br /> I I PLUMBING <br /> ISA1/1L- I ��iv « , K <br /> `� < < L-t . pi( <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ;- --, of (J�N 7- <br /> 6 � <br /> N/ A- <br /> I I GAS I I ROOFING I I SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA 1 IYES I INO <br /> / ✓rte .....i tttt:::: •+tfttElE�tltk tittttEltltltat •...:::•: ttititttttt ttft4V <br /> :a• <br /> BUILDER /- 1 ) <br /> 0 / _ i i COMPANY I / t / ( 0 - i U - (- -I-O'S of- 0reVa cL <br /> SIGNATURE `1 <br /> i 1 REGISTERED I Y/ N I FEE CURRENT Y/ i\-7-1 �. 11 <br /> 3O C G 4-44zi- 444i ox Vr. 1��c A., , iE= L 3.21 c 1 License # I C UC l � Sal 05 1 <br /> Address � <br /> ELECTRICIAN <br /> COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> 1 I License # I <br /> Address l <br /> PLUMBER l COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address <br /> 1 License # I <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED L Y/ N I FEE CURRENT I Y/ N 1 1 License # <br /> Address <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> I I License # r <br /> Address .. : ::.: :• • 2: <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 PI3ns 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. �� €€ €lam €� € €€ <br /> ....... ,............. ........ <br /> ..:». .. ... . .... . <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. (NC 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 />