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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 I � <br /> Building Department f . . I ( 1 ' /� r3 <br /> Date Received � �[� g n __ , I , - `/ lJ._7 <br /> Phone Contact for Per it ,, / <br /> _ 1 - r - 1 1 1-7 1-r <br /> Owner's Name `.j �� Owner Phone Number LL �N ������ <br /> Owner's Address # �l� j__ J� y r bo►1 6$ umber [ " l / <br /> Fee Simple Titleholder Name ne'r'rhoihi NurrSb> <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS D /,J n LJ`Il LOT # _ j s 00/ <br /> SUBDIVISION PARCEL ID# 3S` 25 1 —00W)— GoW)_ D O6 —c —DOA (\ 1-00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM I I OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK n FRAME I I STEEL I I 1 <br /> DESCRIPTION OF WORK J 1 V — /1 / O L / V <br /> BUILDING SIZE t 999 1 S. f4•FOOTAGE HEIGHT <br /> / <br /> t <br /> ]BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ r � V O AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> 0 ]PLUMBING $ t O`� 1 " 2 6 p 11� - 1 <br /> -- � 61 4 )....g4 IMECHANICAL $ 7 - -- - 0 0 VALUATION OF M INSTALLATION 2_ tA L <br /> IGAS 1 I ROOFING n SPECIALTY I I OTHER `./ C <br /> 00• ii FINISHED FLOOR ELEVATIO∎ FLOOD��Q�p{REA I NO <br /> •1111111111 ►����� 4 • 0- 11111111111111111111II1I •]]]•hl <br /> BUILDER , ,, - COMPANY a ���.�� �, �-Y/ !Lib A.......—. � <br /> SIGNATURE _ � REGISTERED wk . LA <br /> CURREN EMI <br /> Address 1 . 1 s. li11.11. _ ! ' <br /> ' ' �,' L3Li 5 � e � �3 itiomviiiRIJI <br /> ELECTRICIAN 11,. I S ( t <br /> SIGNATURE I .A._ REGISTERED Ir FEE CURREN Y / N I <br /> i•i■ <br /> Address ' r O C License # �� a lliallr <br /> PLUMBER �{/ //r COMPANY 11 ► t C1) Q�,M�� i I / <br /> SIGNATURE 1 REGISTERED Roam FEE CURREN ream t/ <br /> Address % ` _� �' / S I 3 3� License # ( F C 1 y 2� 3 <br /> MECHANICAL or� / . • PANY (V S 141 f C <br /> SIGNATURE — j s' j REGISTERED N FEE CURREN / N <br /> Address License # C -41C- 4 S - 1 33 <br /> OTHER / . COMPANY <br /> SIGNATURE � _ REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 I I 1 1 1 1 I I 1 I 1 1 I I I I I I I I I I I 1 1 1 I 1 1 1 1 1 1 1, 1 I I 1 1 1 1 1 1 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) 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 /> • <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 />