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813 -780 -0020 City of Zephyrhills Permit Application 4 I + U <br /> v_ „G Fax-813-780-0021 <br /> Building Department ` <br /> Date Received d — 7-- l p • ne Con : ct for Permittin ! L 0 . -- 0 S <br /> Owner's Name Pr, it/ q 1 s) D A / f» 2 k\ Owner Phone Number 4 .3 ( L k .9• " 5 i 3 <br /> 1 <br /> Owner's Address 6//, / 110!/C L 5 D \il 57't, Z h � 4,.ais Owner Phone Number )-_3 - 79z) •- 9- /3 7 <br /> Fee Simple Titleholder Name ~""- -- - =' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6/0 9 e f.L ,1 I1) 7/* 2L -- PA y 4 h i Li. 5 FL• 33 Syc LOT # ZJ <br /> SUBDIVISION P( /I+'1% C,t 5 '/ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 11 ADD /ALT I I SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 1 1 COMM I I OTHER 1 1 <br /> TYPE OF CONSTRUCTION 1 1 _BL nC 1 ----7- FRAME F7 STEEL n OTHER 1 I <br /> C1 <br /> DESCRIPTION OF WORK Ze Ec& f // ,( c p 12,-,o ,- A- PP t € ,,J BUILDING SIZE / / °- d SQ FOOTAGE ..7G> ? $ i'FS. HEIGHT ! <br /> I I BUILDING $ 7GO c, v C� VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 I W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ 5' 2T VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I 1 ROOFING I 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ I No <br /> s <br /> NIP <br /> BUILDER V\ • COMPANY 1 ./.Qiti F, ✓ 42 G�rJ° J <br /> SIGNATURE "71/ PetAk REGISTERED Y / N FEE CURRENT I Y / N I <br /> Address 1 , 9 e Slc Ai .. 7k. 2 c /a c/X A ; S - ` License # <br /> ELECTRICIA f COMPANY <br /> SIGNATURE REGISTERED 1 Y / N . 1 FEE CURRENT 1 YIN I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address . # I <br /> COMPANY f .9 ✓tit ( I (0, <br /> MECHANICAL .! . <br /> SIGNATURE REGISTERED 1 Y/ N i FEE CURRENT 1 Y/ N 1 <br /> Address I License # C 4 C- n 5 V 7 3 ( I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />