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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received ! 7 A — >z ow Phone Contact for Permitting - / • 0 i — 3 - yo 4 <br /> r l <br /> Owner's Name ♦ T- e / `L pus c "" 1 '"'Ikr )Khh �' Owner Phone Number 811— 377- 7 <br /> �'' <br /> Owner's Address ,�.;f 0 / 7 ! S r `Z- /i3 1 Fe- 3- 9 rwner Phone Number <br /> Fee Simple Titleholder Name . PP ' .-O K.$ S 1 � i / L I K S / O wner Phone Number <br /> Fee Simple Titleholder Address S /" <br /> et ` `� <br /> JOB ADDRESS 5 - 7 D / 3 I o n s s t - 4 L L i FL - - - 5 5-11 5-11 Z- ` . LOT# 90 / 0 <br /> SUBDIVISION L' 0 1 0 PARCEL ID# )/ ^ G ' Z (9°,0 0 3 Soo pCio <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT L I SIGN n I1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR n COMM 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 FRAME I I STEEL [ I I <br /> DESCRIPTION OF WORK T, I/A L- L 4a tll 'r 0 K." <br /> BUILDING SIZE SQ FOOTAGE / L 6, HEIGHT J <br /> 1 I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 IELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I W.R.E.C. <br /> j l <br /> I 'PLUMBING $ c:/L� C t ;1 /r1a., f j'ya cfc vz, JV 0 7--j -lo <br /> MECHANICAL $ VALUATION 0 MECHANICAL INSTALLATIO ✓ <br /> 1 IGAS n ROOFING I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURREN 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address License # /C C— MECHANICAL 31 6 � /!% <br /> "aft c YO##-Lif /C- CA L 18] o f j <br /> SIGNATURE j L� ® --' REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address ! t? 6' II I Aped � -- ;l� � 33 )7 License# I C.- , S1 41 / 31 <br /> OTHER / COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 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 $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 />