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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> M 7--C <br /> Date Received 0 I -- 0 1 2016 Phone Contact for Permitting 01 355 __ I / 9 ) <br /> III Ilit11IIIIII <br /> Owner's Name 1.51 yes ) ye CITY CJTy of ZI1'I Y/emee, s Owner Phone Nu • –6/3 MO !3 ? ? <br /> Owner's Address '/Z7 -/ $fr Y4" 1E /A , E Owner Phone Number <br /> Fee Simple Titleholder Name t IY s i i! -60 /fe' Ll Owner Phone Number 8/2 – <br /> 1 <br /> Fee Simple Titleholder Address J ' / <br /> JOB ADDRESS 9211/ S /� ) d /Y",6 01/C LOT # <br /> SUBDIVISION Al 4' PARCEL ID# li 2 - 2z'oo /o a6Goc "moo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN 1 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR 1 1 COMM OTHER <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 I FRAME 1 1 STEEL 11 OTHER <br /> DESCRIPTION OF WORK L-/ C∎97 - g/s r- - vi o rov e slzJE'.36;& sj,i (&97z •S'771/ ole <br /> BUILDI ∎ SIZE /3 I X,3o / SQ FOOTAGE 3 92 HEIGHT /L — D / / "O s_ — <br /> rd BUILDING $ / � 7 021 N i 7- I` . 1 Yt i ( ` �" <br /> / �-- VALUATION OF TOTAL CONSTRUCTION <br /> I - .E. <br /> 1 I PROGRESS $ AMP SERVICE ROGRESS ENERGY � 4 <br /> ✓�/ �. , , , <br /> 1 <br /> 1 <br /> I 1 PLUMBING $ ✓1 ^ I / ' " �� , <br /> I 1 MECHANICAL $ / VALUATION OF MECHANICAL INSTALLATION <br /> ,o ff, <br /> I I GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I ` INO <br /> 1 , <br /> BUILDER / ��� j COMPANY 04,966-:- C:0014'11-1-1477749j ! <br /> 1 IC- <br /> SIGNATURE ' `"' REGISTERED 1 Y/ N . 1 ' FEE CURRENT 1Y / N I <br /> Address License # <br /> ELECTRICIAN <br /> SIGNATURE f A <br /> REGISTERED 1 Y/ N . 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER <br /> SIGNATURE � A COMPANY <br /> REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # T <br /> MECHANICAL / f � / /_) COMPANY <br /> SIGNATURE ✓ 1' - REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> OTHER /, <br /> ✓ v X A COMPANY <br /> SIGNATURE REGISTERED I Y/ N ,I FEE CURRENT I Y/ N I <br /> Address License # P <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />