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813 - 780 -0020 City of Zephyrhills Permit Application . 1 Fax -813- 780 -0021 <br /> Building Department .4 J 0 w 1'() <br /> Date Rer,.eived . 3 d Y • - 1 2 <br /> � (} _AO Phone Contact for Permitting e3 L , • <br /> Owner's Name VI‘' i i U J _ Iii <br /> Owner Phone Number 7Z - . � � <br /> Owner's Address 1'Z( ?j f, CO66(0 F . De , f1*joklri Owner Phone Number L <br /> 1V`a , 34"01 <br /> Fee Simple Titleholder Name 76 t1 t LS c�Fp _ TS U- . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �` 2 (� r /( <br /> '' 1�/►�� l.0 4 a 10 3 r 2 011 e(/U (-(-S ! 11 LOT # <br /> SUBDIVISION PARCEL ID# .`f 2r a 1 00o a 063 ° Ca 0 g� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 SFR n COMM I I OTHER <br /> TYPE OF CONSTRUCTION I BLOCK pp <br /> � FRAME I STEEL 1 <br /> DESCRIPTION OF WORK '')Ey( €x wool - <br /> BUILDING SIZE 1 V g 6 .5". SQ FOOTAGE j62b HEIGHT 1 �- dr� <br /> 'BUILDING $ 1 5DCO VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 3 cov AMP SERVICE 1 1 PROGRESS ENERGY W.R.E.C. <br /> 33 <br /> (PLUMBING $ jleD_ r " <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO J , --I•l�� <br /> IGAS I I ROOFING n SPECIALTY 1 1 OTHER - ( 5 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO ?%%f O � µlll`�111����" l / J <br /> /I 1�"' <br /> dr <br /> BUILDER f COMPANY Ea -4- T " 3 " Cta p <br /> SIGNATURE V\ REGISTERED I Y/ N I FEE CUR EN I YIN i r <br /> Address 2 ($ I C Cam`' .Qvnn ©4 t 1 " „4 f 3 3 �(3 License # G G L 1 21 s <br /> le 7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE e_ . REGISTERED I Y / N 1 FEE CURREN I Y/ N I <br /> Address License # I <br /> r(5P ,^-� <br /> PLUMBER �,/y, COMPANY (7L lv6'72 Alf Me /iu� LLC <br /> SIGNATURE 'f �t�l REGISTERED I Y / N I FEE CURREN ( Y / N 1 <br /> Address 1030(,rA /RCHA Ae) SAE /Ai 4 // , 3i/404 License# C Fc- /y? 7a7 <br /> MECHANICAL A `�JA COMPANY , A/C LLe <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address Ao 3-3- r % 8 s» 'Ta'i fa R 3 J3Ei9 License # (f C ) 5' / S ( 5 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 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 $7500) <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 if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />