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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permittl . /V) £ /� 7 - C <br /> Owners Name Elba (/t . / / AL _ <br /> Owner Phone Number <br /> 1 <br /> Owner's Address I Pa / i / "fJ/ Owner Phone Number I <br /> Fee Simple Titleholder Name I St f t( Ki /qCV Owner Phone Number I <br /> Fee Simple Titleholder Address 9 - 7 <br /> JOB ADDRESS (0 ? ( / ,c / q �' l,[ ) & efri V /t /C ! l C1 LOT # I <br /> SUBDIVISION S //1/r / (:k 1i / /O' PARCEL ID# I ti 3 0 J-( Q a-00 - A - C ''.Z/ "7 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR C ADD /ALT 1 I SIGN L 1 DEMOLISH <br /> INSTALL C REPAIR <br /> PROPOSED USE n SFR 0 COMM No OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK N [J FRAME I I STEEL [ , � 1 1 <br /> DESCRIPTION OF WORK 1 (51.1 <br /> , L.t� C' / 1 -� r \'"1 1 e '1 I� ^' v O l d r f/ /, <br /> BUILDIN SIZE I SO FOOTAGE I l (C/gt-/ HEIGHT I I <br /> BUILDING $ « VALUATION OF TOTAL CONSTRUCTION <br /> $ .�_ AMP SERVICE n PR OGRESS ENERGY_ W <br /> .ELECTRICAL <br /> I say, ..C. <br /> I PLUMBING $ <br /> nMECHANICAL <br /> 1$ VALUATION OF MECHANICAL INSTALLATION <br /> Fl GAS Q ROOFING Q SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> f <br /> BUILDER ( ,----___ , -, Vl COMPANY 1 `l4 BlAk(1/Y- <br /> SIGNATURE REGISTERED I Y/ N 9 EE CURREN I Y/ N I <br /> Address 3 7? j (jJ _//: r 14 6:73s1k License # 1 (.. RO .! <3 S� 7)- <br /> / P Vv <br /> ELECTRICIAN C 6 ' COMPANY I tT i. 9 -f 614 S� s� lec Kr d <br /> SIGNATURE , �/ / f REGISTERED I Y/ N I FEE CURREN, I Y/ N I <br /> Address I 551 c /7/ / C— 1 License # 1 O(.90�57C) <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N I <br /> Address ( 1 License* I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address I 1 License # I <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN, I Y/ N I <br /> Address 1 1 License* I <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 /> fE over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) ���� v S( 1 _ t C <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized fr kit efiL s <br /> OVER THE COUNTER PERMITTING (Front of Application Only) CITY OF ZEPHYRHILLS <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) PLANS EXAMINER 1 <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />