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813 -780 -0020 City of Zephyrhills Permit Application rax- ts1j- iau -uu ( <br /> Building Department <br /> Date Receives ' O Phone Contact for Permittin. Y /.� 2,,d -- S' <br /> Owner's Name 1.12 / 1x71 L n ':.) fi 4'i~l oi^ ,' g 1. fq,S - ° r Owner Phone Number <br /> Owner's Address 3f €.> Co 0,"iL -) c •--J (3 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder 138+( Address , , _ i <br /> JOB ADDRESS n l 6 T t4 v" l C LOT # <br /> ��{{ u u C c. <br /> SUBDIVISION J Q / f i ' ° J J PARCEL ID# C ,2 - 6 = 2 / - v 2 i / `., ` `' - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I I SIGN n MOVE I 1 DEMOLISH <br /> le INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM n OTHER I I <br /> TYPE OF CONSTRUCTION I BLOCK I l FRAME I 1 STEEL I 1 OTHER' I <br /> DESCRIPTION OF WORK 6 ' 4 4 - 1 7 7 - C A If c' I f -/C -2 1' ,JCL` /L. g c)f(f i (, � ' <br /> BUILDING SIZE SQ FOOTAGE 374 ! HEIGHT 6 r <br /> ( I- BUILDING $ � / / G' 0 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ Y` AMP SERVICE I I PROGRESS ENERGY El W.R.E.C. <br /> I PLUMBING $ <br /> V <br /> `. <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION % /00 C - <br /> GAS I I ROOFING I 1 SPECIALTY pi OTHER f .e it,rn, j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO r it <br /> `, fI <br /> BUILDER �� COMPANY 64) /' C /V 7 -1' C 3 <br /> SIGNATURE 1 � -:' �' Z —L REGISTERED I ("Y) N 1 FEE CURRENT I_ u N I <br /> Address I License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address License # I <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 />