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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 It / 3(.f/ <br /> Building Department <br /> Date Received Al . -- 1 1 a 1 7 42g -- 3 L \ \ , 1.�Qj � <br /> Phone Contact for Permittin • M c tIALWkrz} Sq�tare i _._ i <br /> i. � N SI /33s(/Z- • � 3S .. <br /> Owner Phone Nummber' ' <br /> Fee Simple Titleholder Name' Owner Phone Number I I <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS 130 / 3 cAt9vvitft SQL it- ` �r� / ` V � -03900 I LOT # ' �7 I <br /> SUBDIVISION 1 PARCEL ID #I ©2 26- ? " W 'V'" 2o <br /> 1 <br /> ED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED u NEW CONSTR ADD /ALT LJ MOVE Q DEMOLISH <br /> H INSTALL REPAIR <br /> PROPOSED USE I SFR I COMM = OTHER I <br /> TYPE OF CONSTRUCTION = /� BLOCK <br /> f�� = FRAME = STEEL Q OTHER I J � y I / �/� <br /> DESCRIPTION OF WORK Ke141 -4 y 4 i/ // ar �-/ <br /> OF �-�(` r✓k-e J CRPJpLQIi ye r,,,,J <br /> BUILDING SIZE I SQ FOOTAGE' I HEIGHT I I <br /> 91FA BUILDING $ �s q Cj U \ - I VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ 1 I AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> n PLUMBING $ <br /> 1 4 1 , 6 ,, "Rt.... <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION y <br /> n GAS = ROOFING SPECIALTY Ii OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES =NO <br /> BUILDER COMPANY I <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 /> Address I <br /> 1 License# <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 V/ N I <br /> Address 1 1 License# <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address if License # I <br /> OTHER F ' l J . �� ' COMPANY I i - F 1-( i <br /> SIGNATUR (, /�,/ REGISTERED mr N FEE EE / CURRENT e N <br /> Address 13 7 1/ / IV' . 444 , l tfk / Ft 3 34f " License # S 1 Z°' 723 <br /> ( <br /> 7 <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 S2500, 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 />