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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department 1 b ( �'L <br /> Date Received 02-17-2040 6 13 355 11 q 5 <br /> Phone Contact for Permitting <br /> I t I I I I I I I I I I H l LLLY - <br /> Owner's Name SK'S ! VE CITY / � # ` CITY a z Yo(k/C B/ <br /> Owner Phone Number C�/ 3-783 5'3 5 7 <br /> Owner's Address 1 1-214-1 /I Yo' t'F Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ) <br /> JOB ADDRESS 29/ ,S /VC £4N LOT # <br /> SUBDIVISION PARCEL ID# 18-26 -22-0o10-09 600 —0000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN ( MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ( 1 SFR COMM 1 I OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK FRAME I I STEEL I I OTHER I I <br /> on • , • {L. IN .7'1.774 wr ' .DP • ..� ,, i ^ i ' %A Ai V ii f C <br /> DESCRIPTION OF WORK / ` ,t/E!,/ asV -deck- �4,7D ,4Z NW 11 . P B ./ <br /> Z t✓mmy/ly 2! X/5 ?o � = .1 ' �- ' - - i <br /> o <br /> BUILDING SIZB 2o)( Zc !f ri <br /> SQ FOOTAGE _ _ a iii HEIGHT / . et <br /> I ' I BUILDING $ 9 , 50o . 0.., VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ // eo ci O� /V. - AMP SERVICE 6, I I PROGRESS ENERGY I I W.R.E.C. <br /> 4AA /77o% 7v #VEw SSG ,Bu/timI <br /> 1 PLUMBING $ / <br /> I 1 MECHANICAL $ , VALUATION OF MECHANICAL INSTALLATION <br /> r <br /> I I GAS I VI ROOFING 1 I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS ``// 4 /14q.,ta/C.c3 4- FLOOD ZONE AREA I IYES NO <br /> 44- ' WO 0 A 4 eq") <br /> B <br /> BUILDER RRE /��� i Ad_ A I J ` COMPANY 0131 CO S Le170 1 J/CIC REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> • <br /> Address . - 0 8 ' 4 4cL Cf"wile 7 #1/(s A- License # CGCO 9 /G // <br /> • <br /> ELECTRIC '�• COMPANY 7 Ag 24 £(f_CfCfC <br /> SIGNATUR' / <br /> REGISTERED I Y/ N FEE CURRENT I Y/ N I <br /> 1 <br /> Address ! License # 6' 3 02, 3 v4, <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N j FEE CURRENT I 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />