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813 - 780 -0020 City of Zephyrhills Permit Application i , Fax -813- 780 -0021 <br /> Building Department 4 (02?) <br /> Date Received ■ <br /> Phone • tact for Permitting j -- - ---- _ .___ -__- <br /> �p �� -� Phone � � � / ' '�� / ✓`�' � � i./.,� AIM! ••• Ow ner Pho Number � -6=4._ � ' <br /> Owner's Name - / ,� ' z i - � � umber r (� �,3 !G�r' <br /> Owner's Address `r Or gr DTI treMigall Owner Phone Number C5 3 - <br /> Fee Simple Titleholder Nam- E . , , �i c /l G b A- L Owner Phone Number 79/7.9i3 q%i <br /> 6 i3� /Y12gS,, 0,/99 <br /> Fee Simple Titleholder Address 97Mf77•41/(gM84 9 4yj 1 ' / d `-- : - '.- efi` Mc?, <br /> JOB ADDRESS /c2 d v I1Z' Q LOT # I <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM Qr OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I I STEEL 1 I OTHER I I <br /> S <br /> DESCRIPTION OF WORK `� ek� / 176110 l' °7 w/0' <br /> /Gfe A- / �/, a/4 ,44(/Gt 7p a/ <br /> � <br /> �I E id / x � "� / SQ FOOTAGE ��t ��LB � J // T / <br /> " 2 ;61 4 G H T / ! /,,, g,,,, a- /,R) <br /> BUILDING $ /Ji� OO VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ v AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> I 1 PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES pi NO <br /> _� I <br /> - • BUILDER 1 F77,7 4'/ " of r COMPANY -6 <br /> SIGNATURE REGISTERED I Y/ N I! FEE CURRENT I Y/ N I <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N _1 l i FEE CURRENT I Y / N I <br /> Address <br /> L icense # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I 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 /> FiF1F11iFiFi-1FFiFiFiiIII11111IIIII <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 fro 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 />