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-;-- <br /> 813- 780 -0020 City of Zephyrhills Permit Application b1i , -) <br /> Fax-813-780-0021 <br /> Building Department <br /> Date Received � /� / <br /> Phone Contact for Permitting 1 17a9. _ .I ! d ft <br /> _ `/ / 3 f �i <br /> re�m- <br /> Owner's Name N NC Fl.. (h' 1-1-L M - t • asts-ri d 0 014.5 I Owner Phone Number <br /> SCotlSdwltf <br /> Owner's Address 16941 J Qat dbcu t4i 5fe -B31D AL WaS I Owner Phone Number <br /> Fee Simple Titleholder Name' Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 398x/ Coo�..�I Lis. Zepl,i r ►,� Its, r fl I' I LOT # I <br /> SUBDIVISION 1'8St?bh� , J ®'{�� PARCEL ID #'a � • dl ` &b30 -tbtop - 07 57) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN Q MOVE Q DEMOLISH <br /> — INSTALL REPAIR <br /> PROPOSED USE I SFR n COMM Q OTHER I <br /> TYPE OF CONSTRUCTION El <br /> LTA I FRAME = STEEL Q OTHER I I <br /> l;QfDn <br /> DESCRIPTION OF WORK SVNIX1 A(1,#1een Ir %,... liflro. <br /> BUILDING SIZE I [[__ SO FOOTAGE 1 5,90 � HEIGHT <br /> BUILDING $ /? J 336 • OO VALUATION OF TOTAL CONSTRUCTION <br /> I] ELECTRICAL $ AMP SERVICE I] PROGRESS ENERGY Q W.R.E.C. <br /> n PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> n GAS = ROOFING I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I—IYES (—INO <br /> T <br /> i <br /> BUILDER pr COMPANY � �udnoK dF r,�1+4 f/ /Ald <br /> SIGNATURE ,e� ) � REGISTERED I Y / N i FEE CURRENT I Y / N <br /> Address y0�/ORRJS7j2/ /� T,r�A/P`/ P/ riR Al License# I C."eeQ57? ,fa <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address 1 License # I I <br /> PLUMBER COMPANY ' <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address 1 1 License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I I <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # 1 <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 />