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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department ^t I � % <br /> Date Received -/7 -, 0 Phone Contact for Permitting F� 7. O /O6q /J // <br /> Owner's Name Ns7a.' n-115" <br /> .. 11 1 c. (> <br /> 7 �►i L Z ,,! Owner Phone Number <br /> Owner's Address Ceitla4 '"'111 S G� B_31V Owner Phone Number <br /> NuecL' AZ /1s - xsI <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 363S V'q Ic,1>Ct' ma- L M LOT # <br /> SUBDIVISION 1' aiSe6+1 ai 0 P4.6 PARCEL ID# c3 Q�O " - MP <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> — INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL n OTHER 1 <br /> DESCRIPTION OF WOK CArf o et' y�s�b 1.01/1 [ QT l / - BINC -4 . <br /> BUILDING SIZE 1 SO FOOTAGE 1 7� HEIGHT <br /> BUILDING $5.70 / 4 8° VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ 7 AMP SERVICE n PROGRESS ENERGY n W.R.E.0 <br /> I PLUMBING $ \ <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /0 `' V <br /> 1 GAS Q ROOFING n SPECIALTY n OTHER C� 7 <br /> FINISHED FLOOR ELEVATIONS FL D ZONE AREA =YES =NO <br /> MISSIMenletien <br /> BUILDER A� ( y COMPANY 4'N (,Q�{ FEEL CURRENT ' 1 <br /> SIGNATURE wwvi��jli"'����"') L REGISTERED Y // N FEE URRENT /1 1 Y / N 4 <br /> Address Voasiflo ,�,e-,'s - a'ate . Z- /1��IIS'segg' License # Ieaeo ) $ a. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY , <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I YIN 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address I J 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 FacillUes & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Line Safety Page; (1) set of Energy Forms. R -O-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onside, 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 85000) <br /> Agent (for the contractor) or Power of Attomey (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 />