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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Budding Department j NIP( <br /> Date Received , CC'' <br /> tttttffittttttttttr Phone Contact for Permitting -- <br /> Owner's Name //RT7/UDC' y S " Tj)Jj�j� Owner Phone Number (5/3" '730 �?5 <br /> Owner's Address 37V /l 7E44ECj2fri.L Z 0Wiie - r 4 cs 1 ,r.-e. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37Y 1 / )- *SE#e,y L ao' 2 /07i'y -/e /f(es LOT # <br /> SUBDIVISION 1/t/0.25 0/9-7k PARCEL ID# 10 ,-a 6 -a I -Ora a-ocooc - oo jc <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN III MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR I I COMM OTHER II <br /> TYPE OF CONSTRUCTION 1 1 BLOCK FRAME I 1 STEEL (; 1 OTHER I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE / -S7z /Q k SQ FOOTAGE / 5 J � — S' / HEIGHT <br /> I I BUILDING $ 2 Co00 P o <br /> J VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> 1 1 PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS XI ROOFING 1 I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS / s 'foie FLOOD ZONE AREA I IYES ISONO <br /> • <br /> BUILDER C / / COMPANY /7 J a <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <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 1 Y/ N 1 FEE CURRENT 1 Y N I <br /> Address License # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/N 1 <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <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 wl 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 /> � <br /> Directions: + 1+H-11F1- FFH 1111Iili1II111111I1I '111111 <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 $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW iA$ R3210P1t. <br /> Sbinpt; IA dfif2 • 3e10u4 >tiRMK <br /> COS , C ysM asUQN3 ,mrnc t I". • ,'• , r . <br /> SafB� (X) +► ftoiiww no s s ' 4 ... . ' <br /> M$ y i 14 IIaodrrl RpaanIT bebnos ` °' <br />