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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department O lez y3 <br /> Date Received ' j ✓ .6- v Phone Contact for Permitting 513 B76 -- 4326 <br /> Owner's Name Ri.t • E.✓1 i t ac -ayC( Owner Phone Number ,, .3 '" 7SZ - 36 V6 <br /> Owner's Address cO yO 1 $ f 1 sr oak, D r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> c.5.� <br /> JOB ADDRESS "I l V S i I t)f r oo k s Pr LOT # 20 <br /> SUBDIVISION ■ 1 VE VCt ({,5 PARCEL ID# 0,3 ;16, (O I Z©0©00 Q V . � O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT 1 1 SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [ SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER 1 <br /> DESCRIPTION OF WORK kC...441v5( Owl 6eiray saihr. /6 x 7. St ze size , PL iay <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ L ` - VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ � AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> 1 1 PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES I INO <br /> BUILDER V� c COMPANY t5 r Uvf Av. r SE ni t‘ LE <br /> SIGNATURE REGISTERED c I FEE CURRENT I Y/ N I <br /> Address NAY( 4f0 ' JTA) C ,a,,44 , rt.. Y3 Q License # 0/ 79 7& <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br /> • <br /> I <br />