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N 813- 780 -0020 City of Zephyrhills Permit Application _ Fax-813-780-0021 <br /> Building Department f 01 No <br /> Date Received / 16 / C) l C, g/3 - )/8 323 <br /> Phone Contact for Permitting <br /> 1 1 1 1 1 1 1 1 , 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owner's Name n/Z ./its <br /> / „,al L Owner Phone Number '. / // <br /> Owner's Address ' / � G -S c) CA” ///?d d -- 2- - k M5 3 - / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address l v,� � l/ y� <br /> JOB ADDRESS 3 1/ , n 1 [`ti's Y . LOT # <br /> SUBDIVISION 14/e ot3C0 / � � PARCEL ID# 3 5 2 5 2 / c' O( cae © © 70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD /ALT 1 1 SIGN n DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE ( SFR I I COMM 1' Td OTHER I I <br /> TYPE OF CONSTRUCTION I BLOCK n FRAME 1 1 STEEL J 4" /� <br /> DESCRIPTION OF WORK r E `'� NO, - i <C G)i'2l nJ �J 6< Q e.,..).0 .O / (c [G <br /> �� <br /> BUILDING SIZE SQ FOOTAGE S HEIGHT <br /> c il BUILDING $ /( cyc J zj-5 VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE ET PROGRESS ENERGY I W.R.E.C. <br /> I (PLUMBING $ <br /> nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOODdNE AREA I NO <br /> 111111111111,1111111111 1 1: 1 <br /> BUILDER � ffdrim / y COMPANY ( / � �E -tiT� 4/ .S G �� SIGNATURE W// i� REGISTERED N I FEE CURREN I / N <br /> 772.o > $ � <br /> Address �l to t P �^ l 336 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y / N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address License # <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 $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 />