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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received <br /> ► � s` ( Phone Contact for Permittin • / 1 5-11 $/3 <br /> Owner's Name I2 4, /19 2 J�i jri� l •'L�.S Owner Phone Number ' 783 l C f <br /> Owner's Address 7‘75 6,9L-•L Owner Phone Number <br /> Fee Simple Titleholder Name /,1051. i�fdt ..2Lit%�.s Owner Phone Number <br /> Fee Simple Titleholder Address 706 AA /JAS/4a. . - A 4i. 5 F _ <br /> JOB ADDRESS /D 5 dkveO ] / LOT # <br /> SUBDIVISION PARCEL ID# -d ra -Jo- GUO/9 - crioGt ' -e /C? <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 1 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR I COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION 1 I BLOCK n FRAME 1 1 STEEL 1 1 1 <br /> DESCRIPTION OF WORK a i aJ yO 9ic2 ff <br /> �✓, ] <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTIOI/l� COO. <br /> (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 1 W.R.E.C. <br /> (PLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (GAS 1 1 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> • <br /> BUILDER <br /> r <br /> .,:�. <br /> SIGNATURE dr4"-ir � R COMPA R NY D (.50.4437,440-4- CURREN �j�r Y l , ?VC . <br /> Address .9 5 44r»d,.E.cr L ViL. License # I C - /5/4' (o cfG <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> ddres v License # <br /> •' CAL ' / // COMPANY <br /> SIGN ATURE J yi /�..A.� ,`o 5 REGISTERED Y/ N 1 FEE CURREN 1 Y / N 1 <br /> `D - Mdress License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED l Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address l 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 $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 Applicati•n •nl <br /> Reroofs if shingles Sewers Service Upgrades NC +•� • n� '1 , • - • - <br /> Driveways -Not over Counter if on public roadways..nee• 4116411.111 *% { <br /> YnT � ' s <br /> ono 1X1 rruJ 1m..p _ <br /> JIM <br />