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813-780 -0020 City of Zepryrhills Permit Application ...... - • - . -- - - <br /> Building Department <br /> Date Received - <br /> eceived C �� <br /> P h one Contact for Permittin. - ) L 1 - t_J - <br /> E. i (O 1�r1h`i i--\1& tt Z(\ Owner Phone Number 3 6,3 - 570'7 - 1 `I 4 '[ <br /> Owner's Name /� ►nnl�. 3 j� C'il(. � <br /> Owner's Address I ? Q 1 Yl 3 l ` A6 C t- V : ',X.=' I Owner Phone Number 1 <br /> Fee Simple Titleholder NameL I Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS I 3 IJ1nt.aln NuC ['_ ?1'l 1117 FL 3 1 LOT# I <br /> SUBDIVISION 1 I)A o 6610 IAe\i hks I PAR I " - ZS° - 000( "l - 0,3leC <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT [] SIGN [J MOVE Q DEMOLISH <br /> I I INSTALL REPAIR <br /> PROPOSED USE 1 1.4 SFR 1 1 COMM n OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK I I FRAME n STEEL [ OTHER 1 1 <br /> DESCRIPTION OF WORK 1 e bat M e •i ‘\e x t lies J k,l r Ae cc... I <br /> BUILDING SIZE 1 I SQ FOOTAGE 1 1 HEIGHT 1 1 <br /> 1 I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ <br /> AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> 1 PLUMBING IS I <br /> LEI MECHANICAL I$ ,3 -4 C� 0 . 71 O I VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS I 1 ROOFING I 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS I <br /> I FLOOD ZONE AREA nYES [NO <br /> • <br /> BUILDER <br /> COMPANY i <br /> SIGNATURE ( REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> License # 1 I <br /> Address 1 I <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE <br /> I REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I I License # I J <br /> PLUMBER <br /> COMPANY 1 1 <br /> SIGNATURE <br /> i REGISTERED � Y/ N 1 FEE CURRENT l Y/ N 1 <br /> Address 1 I License # 1 dMECHANICAL L COMPANY ISO u1 irk e• h� <br /> - .�1 - <br /> SIGNATURE I REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> - q <br /> Address I 4 f l.. (&(c 5 Go R- Fs5 1 R8- FL • 335/ lI License # 1 C. ac_ t &'' 3 .s 7 ! <br /> OTHER I COMPANY 1 <br /> SIGNATURE I REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address i 1 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 Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) 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 wl 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 PIERMITTING (Front of Application Only) <br /> Reroofs Sew. Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />