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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> k Building Department rl ogt3v <br /> - 513 tit e (J <br /> Date Received 1- el- 0 Phone Contact for Permitting 7 / -- 7 -7 <br /> C <br /> Owner's Name -- rcd Ko- 444 Tck- - VIC�-(Z; St - Owner Phone Number ` 7f`f foo , <br /> Owner's Address 3�Sa C 2 SZ 5 � / Owner Phone Number 313 - 3 a-( 1 1 <br /> Fee Simple Titleholder Namel Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I ( SFR 1 1 COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME 1 1 STEEL 1 1 OTHER 1 <br /> DESCRIPTION OF WORK Z r ' 1 ( '"-j Ev 1 CA f ` I c o t ` O 4 N 7 LocLI K � t'` (1 ( e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 0206 i AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 I PLUMBING $ t jeci- tN/ i + <br /> ''/l MECHANICAL $ ��� VALUATION OF MECHANICAL INSTALLATION <br /> n GAS 1 1 ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES El NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # I ( �_ _ } i <br /> �J 1 ► <br /> // C f a J E1 'y � )r! ' C► - -• (6\ <br /> ELECTRICIAN 'Z J'F - � ° � %A-- SIGNATURE REGISTERED FEE CURRENT p Y / N p & ` , <br /> Address 3318 f V PG4. uc t' � lj 41 . 33 sI License # EIR 0 0 / <br /> 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> MECHANICAL �- / l COMPANY Tech ICl/tct 4 h c_ 1 <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN Y/ N <br /> Address - '?Cj t 1 ac, 2 -Phi j(bht 1 4 A3S0q License # I t' J{w 1 � '7 g <br /> OTHER 1 COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 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 /> 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 />