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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building -tir(MD <br /> Date Received 1 i / -22-6 t Phone Contact for Permitting 3 (oaN -- y �' a <br /> # <br /> Owner's Name •_��� - S '%it2 ' Owner Phone Number _ <br /> >i/Owner's Address z <br /> )J/ - S4 ' Ler Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address f <br /> JOB ADDRESS � C� Sky 17 tv L N LOT # <br /> 'SUBDIVISION - 22.0-0.1 f` p A k c . c - { i r?or PARCEL ID# I& l(D 0 0 71- ( b --.0A60 d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 2(WORK PROPOSED NEW CONSTR NI. ADD /ALT n SIGN n MOVE 1 I DEMOLISH <br /> INSTALL ir REPAIR <br /> PROPOSED USE n SFR 1 I COMM I ( OTHER <br /> TYPE OF CONSTRUCTION h BLOCK 12 FRAME I I STEEL n OTHER 1 <br /> c' OF WORK G 0.2 P2-v. a C' It" Z , / <br /> --_._ , g BUILDING SIZE '50 ' SQ FOOTAGE 9 HEIGHT G� f <br /> (Ell BUILDING $ . i,G .co VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> i <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (0/0eZe f -- 4 <br /> Aelr <br /> l f2JA, ■ e, • <br /> I I GAS I I ROOFING 1 1 SPECIALTY I I OTHER N / 6-p10-0-, FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES n 0 2 J " <br /> UILDER ,c�� I ,� 4 COMPANY S`i- ' r ji<o ss1nc)Ct' 4 h 'Cm.- c IGNATURE r`O I REGISTERED I Y/ N 1 FEE CURRENT Y/ N <br /> Address I 3a`4 S L -k.2 __.t, vt s(/ lord b)..crles C 1 34 License # C ixi 1 a5&% oZC <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 1 License # n <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />