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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> Date Received ,j /0 Phone Contact fo'Permitti. t Cti 1 �L 0 - 09a ? <br /> Owner's Name ' 1 R\-. 4-- Ry C RO a Owner Phone Number g /3 - 1-/- 4 y- q0 Q <br /> Owner's Address di g".53 3 ) 7Th S!) 7 7 Q h i' (IS F/ Owner Phone Number e! 3 <br /> Fee Simple Titleholder Name - 1R 2 -- -4- NM), CR001( Owner Phone Number <br /> Fee Simple Titleholder Address 1 R 3 1 "7 Sr. 1 7, PVy Q. ; I I` H 3 3 5kt-d_-- <br /> JOB ADDRESS • 3 9 /' l '7 %4 Qom. LOT # <br /> SUBDIVISION /10 Al G 1 ; N C S A . : T, vs) PARCEL ID# / . - a6- a /- DG ,2/� -do 0 001 oZ <br /> I J (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Fa ADD /ALT n SIGN I 1 MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 73 SFR 1 1 COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME n STEEL n OTHER I I <br /> DESCRIPTION OF WORK \_ ace_ y_ S T ;A.) 5 o o F f.,), 4/e kJ 3 o r , S < vg. 1 eS <br /> BUILDING SIZE ,O K, a2 SQ FOOTAGE 1 g 0 _ HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ' <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> 1 I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES '1W NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address ' License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER �( �/ COMPANY 1� /`4(44 r �l kI <br /> SNATURE . L�/)e r. I .7. REGTERED I Y / N FE CURRENT <br /> Address ``--^- <br /> ddress I 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 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />