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813-780 -0020 City of Zephyrhills Permit Application _, <br /> 4 4, (0 1b_-:7 <br /> 9 <br /> Building Department 't ( 0 Z _-: <br /> Date Received , • 3 -16 -(0 Phone Contact for Permitting -- <br /> Owner's Name Cli- C a/ /}?C e iI Owner Phone Number <br /> Owner's Address 31 7?— c ti <br /> ' '(n C1/2.e Z Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ? <br /> JOB ADDRESS 3 17 J I"li em eGtek 2 Ail - H• 3� LOT # V <br /> SUBDIVISION v ! 7 ` 9P b 22/ve U - / PARCEL ID# 00 - l _ d7- Od 7 C' — Oc - wb7O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ptl NEW CONSTR I I ADD /ALT 1 1 SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK 62 rc / — o r <br /> BUILDING SIZE 02-V X YS r SQ FOOTAGE HEIGHT <br /> BUILDING $ a /c3 I tm VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> 1 1 PLUMBING $ PASc o PERM ITSE- A ` <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION FAX 1 , : : <br /> G AS ROOFING 1 1 S 1 1 OTHER ' � e/ <br /> f 1 I 1 �,�� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 1NO <br /> BUILDER ( /4' 1 7, S COMPANY - /Y"�� �U! // C.-1 ild r AV/ <br /> SIGNATURE `\•3 ..C 4 J4( {e REGISTERED I Y / N 1 FEE CURRENT I Y / N I <br /> Address P. 0 /3OX /Od r). 4/ SpyAgJ ic-13-5374-4-114 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <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 /> 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 AIC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />