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813- 780 -0020 City of Zephyrhills Permit Application /'� Fax- 813 - 780 -00)1 <br /> • <br /> Building Department.. I i / <br /> In i <br /> Date Received / _2 -w ' <br /> P hone Contact for Per fitting tI) , S -- O 4 <br /> Owner's Name , � /, ; �[ ET S . Owner Phone Number i1 ` >Z r c9 <br /> IISAy <br /> Owner's Address , • /35 /77/914-k & t SQ 4 t>fn 7--6 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 34h 4i/7/2 -a % '$ I -i - -, LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 11XL SIGN 1 1 I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 11 SFR COMM 1 1 OTHER I 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK I 1 FRAME 1 1 STEEL 1 I 1 1 <br /> DESCRIPTION OF WORK in) J I-► Oil- Re vJOUI io,J 5 <br /> BUILDING SIZE SQ FOOTAGE `7341 HEIGHT <br /> (BUILDING $ 3g 5-00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 I W.R.E.C. <br /> (PLUMBING $ 6 1•10C <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION di- ; ( � \ <br /> 0 Su 6 S <br /> IGAS 1 I ROOFING 1 SPECIALTY 1 I OTHER _ Z 40 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO t _ ' ' l , * <br /> 7 <br /> Z. D5/"6--A1 / T . . I e.� ti i : ,'.� <br /> BUILDER e COMPANY I w ) ) SIGNATURE REGISTERED I�YY N 1 FEE CURREN 1 Y/ N 1 <br /> Address 630 6 . , 3 C. /44-km Ct1'1 F L License # C(1 C / , / 5 3 <br /> LECTRICtAfsl COMPANY • <br /> SIGNATURE ) REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N 1 <br /> fikY � ,_ e ' - <br /> �`' 3 . Address License # <br /> ;''PLUM R ' . , COMPANY <br /> \ ______§ URE I REGISTERED 1 Y/ N 1 FEE CURREN 1 Y / N I <br /> ddress License # <br /> MECHAN L ' ‘(1) <br /> COMPANY <br /> SIGNATUR ✓ ` REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> I f G " 4Xddress License # <br /> 03 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURREN 1 Y/ N I <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 /> 1111111111111 IIIIIIItIIIIIIIIIIIIIIIItIIIIIIIIIItIIIIIIIIItltlltltlllllllllt11111111Itlllllltllllltlllilllllllllltltlllitttttlltlltltlltlllll <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways.. needs ROW <br />