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813- 780 -0020 City of Zephyrhills Permit Application rax -ri IJ- /tlu -UUCI <br /> Building Department <br /> Date Received — — /0 Phone Contact for Permitting ? 7 3c. -- e0 <br /> Owner's Name C,"\y t Ski VIOL .. 4 1`.. ..[even ill I . I "�tl'�St >� f , Owner Phone Number 7P.) ` I -[' ` 4 5 <br /> Owner's Address C ) - ' 3 - b 5-1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address f� <br /> JOB ADDRESS S�VYIC_/` /_ LOT # <br /> SUBDIVISION PARCEL ID# lI , )1(J't1 ` — toff? -- rgI�QC'O — et`O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT SIGN 1 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR C rodf <br /> PR OPOSED USE IX 1 SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME 1 1 STEEL I I OTHER I I <br /> DESCRIPTION OF WORK A f 1rr G•' �,, n ' f �. <br /> BUILDING SIZE SQ FOOTAGE i30% HEIGHT <br /> •••• ■0 ■ ■..■ • _ <br /> BUILDING $ 5(] 1�5 C VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ <br /> O <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO ' 4 10,9 <br /> I I GAS * ROOFING 1 I SPECIALTY I I OTHER . — , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y / N I <br /> f <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # (- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N <br /> Address t License # <br /> OT �_ COMPANY R1 Jl n Roof en (;�QI` 1✓� -Z <br /> 81 � Al I ii ■ � R r EGGISTERED I Y/ N j FEE CURR I Y / N I <br /> air <br /> Address 36 - 1I S / 5 i-1 , r 1 tI(S 7 j 3 S -1 1 License # I C. C ( 5 <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 />