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813- 780 -002D City of Zephyrhills Permit Application 1 rax- bii- IbU -UULI <br /> Building Department 4 16' - I' <br /> �- 49 --1‘ - -- CT - <br /> Date Received Phone Contact for Permitting <br /> Owner's Name 6 'C(V -C • ih , 4 yA L'" at; t Owner Phone Number ♦ I J` 1 s5 Co, Jt <br /> Owner's Address 34.E i a\, CiiJ- i +Q.- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address , <br /> JOB ADDRESS S /NA r v LOT# c9k <br /> SUBDIVISION 1(/ 1Ei(01 � i Vi <br /> PARCEL ID# 4 c b 1 - cc'' - cxx.co ©!A 60 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n 1 I MOVE I I DEMOLISH <br /> INSTALL I I REPAIR R-Q. —try <br /> PROPOSED USE I I SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER �1�r7La li r <br /> DESCRIPTION OF WC)RK p Q -Vc o ` 6 S t ` 5 t hCJ Q' * r1 4 ( RD <br /> BUILDING SIZE SQ FOOTAGE 13 0 0 HEIGHT <br /> I/ BUILDING $ 4.000 - C% VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1K1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> lam. I <br /> BUIL R _ COMPANY <br /> SIG J REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> • <br /> Address License # <br /> ELECTRICIAN • COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> • <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OT R / i� ± - v COMPANY R\ hncAn �O�\►') 'T'' �� S IG • ' - -4 0/ ��= ( i � �� / REGISTERED I Y / N 1 FEE CURRENT I YIN I <br /> Address q 1 S 7 row? St ° ` , 1LS License # CC(- j x S SO <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 />