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813 -780 -0020 City of Zephyrhills Permit Application F - 813 -780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting lJ / 3 ii/ 6, -- 4 4326 <br /> Owner's Name 1- C9 � CI /rye. Owner Phone Number W3— 75 s y 7s <br /> Owner's Address 732 7 L t<4 <51 C-7 24,A FL 335y t5wner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS `732 7 !— €h ,14 C-.7"-- LOT# /6 - <br /> SUBDIVISION 14 ( La 1) , ((&5 ( & ° PARCEL ID# / S2S f 005A 00000 `6 3 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR rt . ADD /ALT 1 1 SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I <br /> DESCRIPTION OF WORK G- 1`1G.0 - Cf 1 'cz!'G2�r'€ floor, /6 . 7 5 ' Z c T L +- 5 z€ - /--L / � /7+/., AO <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 1 I q ` 2 VALUATION OF TOTAL CONSTRUCTION t , 1 9 ci . 5 " 5 -= " <br /> 1 <br /> I I ELECTRICAL $ j l AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING I 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO <br /> • ° <br /> i., „ <br /> BUILDER / AP , 1 fl ® , ` COMPANY P ;..,,c„,,, L7co( (� +�G <br /> SIGNATURE \\\XXX REGISTERED .11!'Q N FEE CURRENT I/Y"/ N I <br /> Address /qq�/ of ° J .-7- .1.i G (F�1Vc<Kr , /fit 3 3 7 O License # 1 0/ 79 71(- I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y 1 N I FEE CURRENT I Y/ N I <br /> Address I License # I <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 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <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 />