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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department J <br /> Date Received b 5 . / V � 7 Phone Contact for Permitting _ J 6 <br /> 1p tt <br /> Owner's Name CII ,,,���/// ��, � Owner Phone Number tip <br /> Owner's Address .34 rx) 1 3 )HF.. f^ �j )' UL-Q, Owner Phone Number <br /> Fee Simple Titleholder Name' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 1 e)u‘ Vi (,d . II'),t. LOT# ' 4.-) <br /> SUBDIVISION C '�%It']fd C " PARCEL ID#1 L..3 v( "c, 1 ©j ce - C/c/_� Q9( <br /> ��C� r i (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I COMM n OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL n OTHER 1 <br /> DESCRIPTION OF WORK 1 rP P )4 G �;,,6, )) z , r// > ) <;.'S) 2-€.„ 1 , 6) 2,c , <br /> BUILDING SIZE SQ FOOTAGE I HEIGHT <br /> 11 ,-4' BUILDING $ <br /> )OD 1 VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY 1 W.R.E.C. <br /> I PLUMBING $ c <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Al (� 0 <br /> / C ` <br /> Fl GAS n ROOFING I SPECIALTY n OTHER t �' N � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES [1NO a , 7 " .................... ...... ............. . <br /> BUILDER <br /> 4,1„, ` . L /) �� COMPANY Pl6r rdA.. ..� ;- •t1 Lo)CdLJ_h- OL t' SIGNATURE fC� � REGISTERED I Y 1 N I FEE CURRENT I Y/ N t II <br /> Address 5�3y k 4,4 - le sc.) lei c.e_7 .33J iI. License # (..:6 (2) 5,eiy ? <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I <br /> 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address <br /> 1 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 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 Lite 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 Attomey (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 <br />