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813 -780 -0020 City of Zephyrhills Permit Application <br /> Building Department <br /> Date Received Phone Contact for Permittin! — <br /> n <br /> Owner's Name ITC�.rj t U f o i ,� Owner Phone Number 3 0 `j $ 1. Z 8 <br /> 12'- -OO W � � s h t �r£ ►:>��x l � � � Owner Phone Number . 0 E>Z.C� 01 8 U <br /> Owner's Address � <br /> L Qt �k r <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address C ` r <br /> JOB ADDRESS L 8% 4 7 ` EE3 - 2p ht, r h L t 1 S 1� I LOT # <br /> SUBDIVISION PARCEL ID# 1 L 2 co a 1 O O l b 0Z+000 0 O 30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR <br /> INSTALL ADD /ALT n SIGN n MOVE n DEMOLISH <br /> REPAIR <br /> PROPOSED USE 1 I SFR I 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK 1 1 FRAME n STEEL f I OTHER <br /> DESCRIPTION OF WORK P c►.r-�►a l t roc{ 61.. y Q <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTAL TION <br /> 1 1 7 ROOFING 1 1 SPECIALTY OTHER <br /> ER <br /> GAS // ROOFING <br /> FINISHED FLOOR ELEVATIe FLOOD ZONE AREA 1 IVES n NO <br /> ; <br /> BUI COMPANY Pt S Gh C q- 00 / t V 1.0 <br /> � - - <br /> ' TURE • REGISTERED I Y / N 1 FEE CURRENT ICY) N I <br /> Address %O q Grc..t gkvcl - Z eoh►. c h►A1 s fl License # CCC O S 3 13 `t <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED J Y/ N 1 FEE CURRENT I Y / N I <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED - I Y / N [ 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) 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 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />