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R13-780-0020 City of Zephyrhills Permit Application kt 0/50 Fax- 813 - 780 -0021 <br /> Building Department G <br /> .z Received 3 ''S-'C IJ Phone Contact for Permitt(2 et 7 7/ - -- ' .)-T6 <br /> iilitlllliitlIILL UrI' <br /> Owner's Name Pine_ Clt J/ lab 1 Jr m A Owner Phone Number <br /> Owner's Address COY 3 /--/fI- 22IIT_ Si: 2 6 ' 7 l-' , /-L- if-CA Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /� <br /> JOB ADDRESS 60c7 /1/TR/2lL`/ S/ 2M 7//, 72 1 _ r Y.2" LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I I SIGN h MOVE I I DEMOLISH <br /> n INSTALL REPAIR <br /> PROPOSED USE I 1 SFR TV COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I 1 FRAME I 1 STEEL 1 OTHER 1 I <br /> / <br /> DESCRIPTION OF WORK /2 x J -/r9 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ �CO " VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL I $ AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> 1 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION�/',� fi1� i" <br /> ) <br /> GAS 1 1 ROOFING I 1 SPECIALTY 1 1 OTHER `% A <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 1YES <br /> I 1 LIVID <br /> ( ., l t COMPANY J " (CX)/1 (_o / -- (,i r/7] /NCB , <br /> BUILDER Y J <br /> SIGNATURE / - ' - R EGIS T ERED I Y / I FEE CURRENT I Y / N I <br /> Addres 1 yU f"n�� "w h-' <br /> , Z # -/�/ License # k 2 5 J J ...Z 7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />