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813 -780 -0020 City of Zephyrhills Permit Application -44, -1 6 Y ( Fax-813-780-0021 <br /> Building Department <br /> Date Received / °- 1- , h Phone Contact for Permitting ' 11:7 0 <br /> . .--- 177% <br /> Owner's Name I I RE 141 NIC(DO WI Owner Phone Number <br /> Owners Address 1 159 V (A NIA.- P5L'V V7 z aP t'1►'I-1+t w5 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Plane Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I 1 'D'-E 0 Ct ILL- BL-k) 0 z - 33 r j ` - l7-- LOT # I <br /> SUBDIVISION 1 I PARCEL ID#I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT in SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR La COMM n OTHER I I <br /> TYPE OF CONSTRUCTION n '(� k'4 BLOCK n FRAME Q STEEL n OTHER I <br /> DESCRIPTION OF WORK T3' L' ( 41- Nr-Vil 1 L UUL/T PrC(E__ <br /> BUILDING SIZE I SO FOOTAGE I 1 HEIGHT I <br /> n BUILDING $L ` Z OC.) 0.00 VALUATION OF TOTAL CONSTRUCTION <br /> F ELECTRICAL $ ( AMP SERVICE n PROGRESS ENERGY In W.R.E.C. <br /> n PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS n ROOFING n SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA nYES nNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # 1 <br /> MECHANICAL t >• 'ANY ( <br /> SIGNATURE £ -TERED I Y 1 N I FEE CURRENT 1 Y/ N I <br /> Address Aillill I f ( License # 1 <br /> OTHER 2 / ' C' <br /> K COMPANY I P 1 0 1-1 cCf—l(I1'1Tk 1 5CiM" l l'�K' <br /> SIGNATURE REGISTERED N FEE CURRENT 1 l.Y7JN I <br /> Address 15 n 14. V 4-I-6 I;' E Il t�khi � ? ` Oo j License # l E7-000 J 31� I <br /> 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/ SIR Fence installed, <br /> Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Foram. R -0-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 ad 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 badc 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 Attomey (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 />