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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> , Building Department # 10v- <br /> Date Received _L. o-( Phone Contact for Permitting -- <br /> IlttttlltIIII1ILtilJir <br /> Owner's Name OS ( , - fille Owner Phone Number STRITERMIE <br /> Owner's Address 3 q "33 Cho ro jVLQ (L4' ? Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 6 1-<?? 0144 4-4 to nt, LOT # <br /> SUBDIVISION ' 'fiite t ' c C ' PARCEL ID# '2-1 - -2 24 - . 0 60 - o6I 6D v id <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR ADD /ALT 1 I SIGN 1 I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE M SFR I I COMM 11 OTHER 1 1 I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME 1 1 STEEL ® OTHER 1 1 <br /> DESCRIPTION OF WORK 4?"411 / )(e" ' i- <br /> BUJLDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ / t/ I 7s- VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> 1 1 PLUMBING $ <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES f No <br /> * <br /> BUILDER �{ I ¢ (7 COMPANY (lf�V Cr 4)))62L ' <br /> SIGNATURE / ed `r REGISTERED I Y / N 1 1 FEE CURRENT I Y/ N I <br /> < <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> I <br /> SIGNATURE REGISTERED 1 Y / N 11 FEE CURRENT I Y/ N I <br /> Address License # r <br /> I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . 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 />