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r� F t e ,4 y �' <br /> .,,,, NWI wr I / a li . <br /> 813 - 780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 -0021 <br /> Building Department 4(03 7fI Date Received ✓ �D-' 16 g s !/ <br /> Phone Contact for Permitting 1.0 1- k1- - 13 C, <br /> Owners Name Co AC. Ye 6, ✓ E- . Owner Phone Number f 3 7'S 3‘ 3 6 <br /> Owners Address W 1 ( (",,,,, , c„ 1 Ct . ve✓t ,L,11__ Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address Z (� ` e M � ( IQ'� R . ((p� <br /> JOB ADDRESS ' -VI — X J C,--ct (( a1 1ic {. 'I'`k 6A. , 6e i - � LOT ti <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR pD ALT I 1 SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 11 COMM n OTHER <br /> TYPE OF CONSTRUCTION n BLOCK 1 1 FRAME n STEEL n OTHER 1 I <br /> �- <br /> DESCRIPTION OF WORK -nS 11 Lt/, - less Lo R1 NI c.. it✓ 1d✓ f, 11, WY' e , f / Y rr'1q / PCP <br /> BUILDING SIZE SO FOOTAGE I HEIGHT <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION Y0 <br /> n ELECTRICAL $ AMP SERVICE [1 PROGRESS ENERGY = W. R. E.C. <br /> n PLUMBING $ n -/ <br /> t r <br /> _ � � ' o <br /> I -1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L �y� 1`6 3 <br /> � IV u <br /> n GAS n ROOFING I 1 SPECIALTY n OTHER (_ 'J - 5 - , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I License # <br /> OTHER ' � l_ = II COMPANY D �/Y).1 rf •ce, <br /> r <br /> SIGNATURE i �, r REGISTERED 1 Y/ N . 1 FEE CURRENT 1 Y/ N 1 <br /> Address V) � 9 3 Co 'S-4 Dr i �C? Cksre ( 6e%ry fL- License # 1 E. f 2-0e"e , e; . )_ i I <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 /> i <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 />