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813 -780 -0020 City of Zephyrhills Permit Application vloo Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting r13 Ti -- `-c.7/ <br /> Owner's Name Ca -/t1/ // k J Loop Phone Number fa v41- /3� <br /> Owner's Address 7715 V/.LC.[ _ ,d /6Am°' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address e <br /> JOB ADDRESS 3745 eal ( :,/ � 112eAnditel Z LOT # dil <br /> SUBDIVISION ? J'ecatt c Z PARCEL ID# 02 f — 0 2 45 -01 Ja _ aJ _ 0-0110 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED <br /> Itil <br /> NEW CONSTR ADD /ALT I SIGN MOVE I ( DEMOLISH <br /> INSTALL REPAIR <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 I I <br /> DESCRIPTION OF WORK 4142_1 /^ oo atiVi�i at o� ev tke1 <br /> BUILDING SIZE /a Y 35 SQ FOOTAGE yd` ` HEIGHT <br /> 1011 BUILDING $ f l Y3 co VALUATION OF TOTAL CONSTRUCTION <br /> It ELECTRICAL $ / AMP SERVICE PROGRESS ENERGY ri W.R.E.C. <br /> I I PLUMBING $ <br /> 41 (813) 738.5314 C-v <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION FA x1448.82 <br /> 1 I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO <br /> BUILDER t <br /> I COMPANY V ,, ' <br /> SIGNATURE <br /> „si ge,_404.5 REGISTERED I Y/ N FEE CURRENT I Y/ N <br /> Address 1 Fe ni /x-41 7-114-111 ' License # <br /> ELECTRICIAN * ' ( 1) <br /> A., I�/0, X�/` to� /,LL (�' <br /> SIGNATURE /J REGISTERED I Y/ N I FEE CURRENT I Y/ Ni I <br /> Address /' a ' 4 6 ZQ, o/Gyrll f License # <br /> PLUMBER �4 v � 0J COMPANY — 4ebt 9\ / 6 1 <br /> SIGNATURE ��"' / > L c ) 'rip' I Y / N I FEE CURRENT I Y / N I <br /> Address /-) License # <br /> MECHANICAL i , ! � ` COMPANY L M/ J A C 4f SIGNATURE .4 z <br /> , w �1 REGISTERED I Y/ N J FE CURRENT 1 Y / N I <br /> Address 9997 /1 /k/ C� 7 `' f fit. ' License # C P-C- 14 ' 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I Y/ N 1 <br /> Address License # F <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 />