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813 - 780-.0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> • Building Department .0-(U 319 61 <br /> Date Received " 2.,4 — (0 Phone Contact for Permitting i k3 24 -- F9 ( • <br /> Owner's Name V T N C ( L LC Owner Phone Number <br /> Owner's Address (Van D Ave, fi on o,to L-u 2 FL Owner Phone Number 8 t 3.12 3 ' 31 1 8 <br /> 'b35.58 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ^� <br /> JOB ADDRESS (p l, a`t \ V c. • /, LO , T y, # <br /> SUBDIVISION PARCEL ID# d 2 24 — z1_ 001 0 — v'"' " a ` b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT E1ial SIGN 1 I 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE f I SFR COMM f n I OTHER I I <br /> TYPE OF CONSTRUCTION BLOCK n FRAME �, I STEEL I I I I <br /> DESCRIPTION OF WORK 14 0 a v\0 �p Q (7` r(7t7 <br /> BUILDING SIZE r r 0 0 SQ FOOTAGE / ro ° HEIGHT / Y <br /> 4 <br /> I $ , , C 0 i\ V . • VALUATION OF TOTAL CONSTRUCTION s' 0 e 0 <br /> L. r <br /> IIELECTRICAL $ 0 0 V c AMP SERVICE Ijp PROGRESS ENERGY ...--r W.R. E.C. ZeIS �i °� 0 pi <br /> PLUMBING $ / O Q 0 � <br /> V '1 I FM s/zy/lv <br /> 1 ./IMECHANICAL $ *315 VALUATION OF MECHANICAL INSTALLATION <br /> / 0 d 0 /I �j t) �(�^ <br /> I IGAS I 1 ROOFING 1 SPECIALTY I 1 OTHER L ` 5r"'" V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO 3• l° Oil � ley <br /> BUILDER I COMPANY SPert 4L ot t s Vui /der S4,4 . <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y / N I <br /> Address 3773/ KoSt)t 1744. . ,ZepL a1 FL i)sv/ License# C64- / Z 5-5 7/ 9 7 <br /> C <br /> I AN r a,, � `!` COMPANY � e 11 • % <br /> ELECTR re.1 S , . E( ec� C "r l . <br /> SIGNr�ATURE "� REGISTERED I Y/ N I FEE CURREI� I Y/ N I <br /> oi3 - ?, x?' z <br /> ( dd icense <br /> i) -" , )I I ., ` VkYWIeJ 1 Yt <br /> PLUMBER COMPANY <br /> �1 Mltil <br /> SIGNATUR Ap k ` r � REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y / N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y N I FEE CURREtN I Y/ N 1 <br /> Address 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 /> I111111111111I1t II11111IIItItt1111II1tlII1111111111111 111111111ltl111111111 H IIl III11 1111IIIIIIIIIIIt111l1IIIIIIIllll1111I111 <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is requ (A/C upgrades over $7500) <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 if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways.. needs ROW <br />