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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received --/q- `! �p� SKr __ Q �0 <br /> c r Phone Contact for Permitt <br /> Owner's Name Vv I \\ l aKA 4 (tS c r`1 'T Owner Phone Number 8-I 3 7 a 3- a ?i!O <br /> Owner's Address S7397 /7 c /�y.5/ ii rb I. Z ii tk5 Owner Phone Number <br /> Fee Simple Titleholder Name SOL I' -t Q 5 0I, U-12 Owner Phone Number <br /> Fee Simple Titleholder Address SaYIo Q5 a ✓J ip-g- <br /> JOB ADDRESS 3 iL2 r4 s k; r Q D(. Zeyk :l Rc-- 'VS LOT # `IQ <br /> SUBDIVISION tiJeC 1 �' `CI✓L() C PARCEL ID# `b pulp �a ' (91 . 6 13 OC)000 - G 0 <br /> V (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Mill ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 15g1 SFR I COMM n OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK [1, FRAME n STEEL n OTHER 1 I <br /> DESCRIPTION OF WORK '..9.4(p C - -1 (g.“ do \.', el f(:U- �p <br /> BUILDING SIZE ✓/�/ SQ FOOTAGE 1 Q J J HEIGHT G A <br /> 7Z BUILDING $ (0 3 so . oc VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ J AMP SERVICE I PROGRESS ENERGY Ii W.R.E.C. <br /> ( I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIQN i 7-- ov <br /> 111 <br /> I I GAS 1... ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA InYES n NO <br /> BUILDER W COMPANY AitUrN/10" Y\ r Y 2 1GoC 1 n hC„ <br /> SIGNATURE / REGISTERED I Y / N I FEE CURRENT ¥ / N I <br /> Address ' .o3 6 Ct) (l•e�, t 1 . - Ah ►,.t, T `- 3.l v )y° License # I C ( (r�t ) d C qi), ( <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address <br /> License # <br /> 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 />