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813-780 -0020 City of Zephyrhills Permit Application . .... _._ . -- -- <br /> Building Department <br /> Date Received Phone Contact for Permittin <br /> 352 5(/) _ 62 11 <br /> c 1 d Se m Owner Phone Number CI L I 0 - 1q3 -- 50-15 <br /> Owner's Name J �' CL(1 `� u a n <br /> Owner's Address I <br /> 15 9 1 -1 Co ) T 5 T I Owner Phone Number <br /> I I <br /> Owner Phone Number I <br /> Fee Simple Titleholder Namel <br /> I <br /> Fee Simple Titleholder Address I • <br /> JOB ADDRESS 1 5 I <br /> C1 I�' 5 ZC ?h , Ai�,i1`S '3'354D-0_11i -11i I LOT # I SUBDIVISION <br /> I PARCEL ID# fi _Z4. Z i.. dplp-- 1 -650 <br /> I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> CONSTR I I ADD /ALT = SIGN Q MOVE = DEMOLISH <br /> WORK PROPOSED I I <br /> INSTALL I REPAIR <br /> r—t SFR ( 1 COMM n OTHER 1 <br /> PROPOSED USE f � FRAME n ST EEL n OTHER <br /> TYPE OF CONSTRUCTION n BLOCK I I <br /> DESCRIPTION OF WORK 1 a h c (:5 e O Lt i'eta a s (14 <br /> BUILDING SIZE I SQ FOOTAGE I I HEIGHT I 1 <br /> I I BUILDING 18 I VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL i$ I <br /> AMP SERVICE 1 I PROG S ENERGY 1� I W.R.E.C. <br /> 1 1 PLUMBING $ ��7 <br /> i I <br /> 1 71 MECHANICAL 1$ /4 /, 7 r� 00 I VALUATION OF MECHANICAL INSTALLATIO <br /> 1 I GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS <br /> I 1 FLOOD ZONE AREA 1 IVES FIN0 <br /> COMPANY 1 I <br /> SIGNATURE I Q� 1 11! REGISTERED L Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I <br /> 1 License # 1 I <br /> I <br /> ELECTRICIAN 10 1 PC COMPANY 1 I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address <br /> I License # I I <br /> PLUMBER IV i A I COMPANY 1 <br /> SIGNATURE <br /> REGISTERED I Y / N I FEE CURRENT I Y/ N i <br /> Address I <br /> I License # 1 L.zize,,,„,,, I COMPANY IS UTI4 1Z� 0-0 ���_�� MECHANICAL REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> SIGNATURE /� - q <br /> Address <br /> 44� 1 /� K651." Co IL 657g41-- rI. r 33 lI License # IC. RFC- tie 1 3 .S 7 1 <br /> OTHER It/ A- I COMPANY 1 <br /> SIGNATURE I / <br /> REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License # 1 <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />