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813-780-0020 City of Zephyrhills Permit Application #10 ( Fax-813-780-0021 <br /> Building Department <br /> Date Received Cg 1 0 r Phone Contact for Permittingg 13 7/ O -- 3 2_ 3 3 <br /> 1 1 1 1 1 1 1 1 i, 1 1 1 1 1 1 1 1 :VIA 1 7 1 1 <br /> Owner's Name P-' 0 1 O,1 !W► Cr ) `To j 5kEr 6 o !Q Owner Phone Number <br /> Owner's Address r7 d S Q 6 D1 / V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 Q ‘ r■ 6 - •. .106 t y� <br /> ✓ LOT # <br /> SUBDIVISION PARCEL ID# 3<i 2S 2( Oc d 6 633 o CS - 069' ( <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> — <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT 1 1 SIGN n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK 1n FRAME ( 1 1 STEEL n 1 <br /> DESCRIPTION OF WORK E E (' i( u J 1 o�E -�( t w 5 <br /> BUILDING SIZE SQ FOOTAGE 6 HEIGHT <br /> 1.1411ILDING $ 7 56 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ �.• AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ mc 1 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> nGAS n ROOFING El SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> 111111111111 11111111111111111141 111111111111111111111111111111111 <br /> BUILDER COMPANY (--• '41- REGISTERED ,oC.. <br /> l am' <br /> SIGNATU /G mil✓ REGISTERED I �1 I FEE CURREN 1(17N <br /> Address r!' - '4 d VS 30 l a Tm • a F 3 G3 $ <br /> NI 7 License# C 5 dc�ldr7� <br /> ELECTRICIA WRY COMPANY wE`s. CE.� o L s t �> <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address - 172o ' 5 3C5 Tt to E, 33637 License# ES cj.64rt <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y / N 1 <br /> Address License # <br /> 1111111 1111111 11111111111111111111111111111111111111111111111111111 <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />