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813 - 780 -0020 City of Zephyrhills Permit Application / ,�; Z 1 Fax -813- 780 -0021 <br /> Building Department 11 <br /> Date Received - / b -( 0 Phone Contact for Permitting -- <br /> Owner's Name 60,4 41 iv) . L.1 / S /,-. Many*/ Owner Phone Number �� 3' 78 oL -o t$ <br /> Owner's Address J 5 c?)'�h y{° Owner Phone Number '3 i 2 j ' '7 r...7.- 0 es g-. <br /> Fee Simple Titleholder Name /OM& CO abelle Owner Phone Number <br /> Fee Simple Titleholder Address i 05Vrlf co 6/9_ <br /> JOB ADDRESS ( 3 . �� {�YC i(!�l qP 3 C� LOT # <br /> SUBDIVISION PARCEL ID# /` -- * 1 - bOio 16 - - Q�-IO <br /> r � // 4.01/ ( OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW ONSTR ADD /ALT SIGN I , 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 14 COMM I I OTHER I I <br /> / TYPE OF CONSTRUCTION I ;/I BLOCK 1 1 FRAME I I STEEL <br /> � I 1 OTHER 1 I <br /> DESCRIPTION OF WORk,j 1 A� W%Vj O Q —_ C-LG <br /> BUILDING SIZE �, 7v. SQ FOOTAGE l Ja7 . HEIGHT f 9LLe/ <br /> BUILDINV $ ,S VALUATION OF TOTAL CONSTRUCTION <br /> 14.I ELECTRICAL $3%--0 m.9- AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS I I ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> 11:13111:0. _ _ -_ • <br /> - <br /> J r <br /> BUILDER / ^. - - i _ � , y COMPANY 1. .. "1: - E: : ,, <br /> SIGNATU X , /- REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> { <br /> ELECTRICI \11/�s�- �) ` COMPANY R�/ �,Qw4u.�_, <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address (O . ilLA. 071 z . L.,, License# M4 (5w(353 <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 I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I I FEE CURRENT I Y/ N I <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit I 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 /> f <br />