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813-780 -0020 City of Zephyrhills Permit Application �� F 813- 780 0021 <br /> Building Department T4 �} <br /> Date Received <br /> IESEMMIIIII Phone Contact for Permitting rs i / - 6 S q ( (p 'o f J <br /> Owner's Name F . t ( i C kr . S A-, Art (L idr cit. Owner Phone Number <br /> Owner's Address 1 loot-1 0 8+.1 34. Owner Phone Number <br /> Fee Simple Titleholder Name VA Owner Phone. Number <br /> Fee Simple Titleholder Address PO <br /> JOB ADDRESS gtS S • LOT # <br /> SUBDIVISION Ty S 04 PARCEL ID# 0 2. 210- 21 - 00 $'O - 0 0 A 00 - OO ho <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR X ADD /ALT n SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 1 1 COMM I}{ 1 OTHER I C1. I <br /> TYPE OF CONSTRUCTION n BLOCK 11 FRAME n STEEL I I OTHER 1 I <br /> DESCRIPTION OF WORK ices t loom 4.-3 (L. }fAG. t "oV c14 o J <br /> BUILDING SIZE SQ FOOTAGE S 1.N HEIGHT <br /> Sri BUILDING $ ' J g ' 6 c ` VALUATION OF TOTAL CONSTRUCTION <br /> 1 )CI ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> I x 1 PLUMBING $ /t 1 / ✓ <br /> 1. v p� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 69 .) <br /> C ] , /1" 7' 1 4,4' <br /> I 1 GAS n ROOFING 1 1 SPECIALTY n OTHER Kv 001 0 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES [ f' 67‘ .0 r"' (•� <br /> S <br /> AA r 1 /' <br /> BUILDER l � <br /> �. ' �0C, COMPANY K'Yrr(44.6.01 (44.6.01 ion s 4 wc4 0 ✓ F <br /> + O1 . 1 C <br /> SIGNATURE / REGISTERED [ Y / N FEE CURRENT I Y / N 1 <br /> Address ( 36413 S 5 Z -WAU License # 1 615 C, - I LS 0 s <br /> ELECTRICIAN q+ �G. COMPANY M et --1 n E �.e (lc , c <br /> SIGNATURE / ��, '(� REGISTERED 1 Y / N I FEE CURRENT J Y / N <br /> Address 7 K 2:7 (0 4 .5 , Si, 1 Je C.,J,y U 1 License# 1 EC - 1 30'© 13 g3 <br /> PLUMBER . O COMPANY ,1 if (i ((: 4.., r <br /> SIGNATURE L1 ii REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I License # I C <br /> MECHANICAL ilAd It < < COMPANY c /15/ r .f I`H I I y 6 <br /> SIGNATURE REGISTERED Y / N I FEE CURB T Y / N <br /> Address 10 (on 1-14) / 3 O' License # 1 R M - 00 1 g to ( <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address I 1 License # I <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 />