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813 -780 -0020 City of Zephyrhills Permit Application Fax -813-780-0021 <br /> Building Department 77 /1.(55- <br /> Date Received 1. 2-lb Phone Contact for Permitting fi3 7 -- S3/ V <br /> Owner's Name f? tPyll) 7di a- 1 y Owner Phone Number J3 bad —/ 9?-. <br /> Owner's Address J1.13 I.4.Cdde JiMei Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 1 , //_ ,�^- 1 <br /> JOB ADDRESS 3f _.3 L & f/e C• / LOT # <br /> SUBDIVISION flive - dial n -I PARCEL ID# W o•-4 - e?l 0000 - Odldd - dad <br /> EN (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I I STEEL 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK (.421( / ∎` Pao" 1- C " f <br /> BUILDING SIZE 7( ' X J .s' SQ FOOTAGE 4, 7.rd HEIGHT <br /> BUILDING $ /S' 079.0 VALUATION OF TOTAL CONSTRUCTION <br /> riti ELECTRICAL $ AMP SERVICE ri PROGRESS ENERGY Ii W.R.E.0 <br /> PASO PERMIT SERVICE <br /> kl PLUMBING $ (813) 788 -5314 <br /> FAX 1.896$247894 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r� <br /> I GAS I I ROOFING I I SPECIALTY I OTHER V 1/ J <br /> C `/ <br /> S /Se <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES NO <br /> 0 -/^ <br /> BUILDER �/ /� COMPANY f ecA J7t)4 � . • t i 0 N <br /> SIGNATURE C�.. f REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address Q /3y 1'-D /b1 km) .6/ Z ''- ft-l4 f ( • License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address ( License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <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 $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 />