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813-780 -0020 City of Zephyrhills Permit Application ' Fax -813- 780 -0021 <br /> Building Department /o35 " <br /> 1 .3-/O 1 <br /> Date Received ( <br /> Phone Contact for Permitting j I, JO __ --1 <br /> Owner's Name L U. Up = - <br /> Owner Phone Number RINMEMMIE <br /> Owner's Address I _ f f , <br /> Owner Phone Number ( I <br /> Fee Simple Titleholder Nang' 1 <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS , .� --ti � I„�v zi,,J, LOT # I I <br /> SUBDIVISION 1 I PARCEL ID #( y� <br /> I C -D...6, - , d AJ-- oc C.0</r ov to -4I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I I SIGN MOVE DEMOLISH <br /> INSTALL REPAIR j <br /> I 1 <br /> PROPOSED USE 1 1 SFR COMM I I OTHER I' rym ( <br /> TYPE OF CONSTRUCTION I I BLOCK FRAME I I STEEL n OTHER I <br /> DESCRIPTION OF WORK 1 (,9! 0),,..,:, L , ,',..,k \/\;\ )\., L) c- L <br /> BUILDING SIZE SQ FOOTAGE r �iv)L J H EIGHT <br /> I I BUILDING <br /> I . <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRIC <br /> AL I$ AMP SER <br /> SCE - • --- .- PROGRESS ENERGY n W.R.E.C. <br /> I <br /> I I PLUMBING I$ (.._ 1 ' ' 6 L r- -- (A. /_____f <br /> I MECHANICAL I$ I VALU TION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I I LOOD ZONE AREA 1 I YES I 1 <br /> BUILDER V I <br /> SIGNATURE % <br /> y.. <br /> COMPANY L \- <br /> BUILDER <br /> / REGISTERED I Y/ N I! FEE CURRENT 1 Y/ N I <br /> Address Ikl `, Enalli & Q I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address I I License # <br /> PLUMBER I COMPANY <br /> SIGNATURE REGISTERED I Y / N . 1 I FEE CURRENT I Y/ N I <br /> Address I <br /> 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # n <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 />