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813-780 -0020 City of Zephyrhills Permit Application ! Fax -813- 780 -0021 <br /> Building Department <br /> /QE 1 <br /> Date Received ' • j Phone Contact for Permitting ' ., `� r --- <br /> /� , i; ) - - V1/411f , 7 L . Owner Phone Number a / 3 v `` i r 6 <br /> Owner's Name �� f u k1 <br /> 4 <br /> Owner's Address <br /> c/,i� G ' 1 t. ! . Ju. * ctc. Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> `r t 1 <br /> JOB ADDRESS 21 3 G' ---/ c -�� J z ,:1 ti.yck - - r�_arC -1(7/3 k %z ...1...d/ L 'z LOT # <br /> SUBDIVISION PARCEL ID# ! 4' - )<0 - -? : - CCU -/C `' 0 `IC ` ' "" 1.:.0 c <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT iv] SIGN n I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR n COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK n FRAME 1 1 STEEL n 1 I <br /> DESCRIPTION OF WORK F ._. ;,,.,„ _c4, ',, Y> ( - 117,- 1.i - .1,:c, t t._ i,_ YN : y <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING x41/9 , ° - VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> I�PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (GAS 1 1 ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO <br /> BUILDER ���. n A le O` COMPANY t Fes` z f <br /> SIGNATURE ✓ c`-'` ` nt_ 4 ` - . G/+ C REGISTERED 1 Y / N I FEE CURREI I Y / I ., ) I. 7 ) + y / - ? '1' { <br /> Address � 0 ` License # {� <br /> ELECTRICIAN ■ t / COMPANY /711_,,_ , I i, 4. ,'\,,A.,Ls,? c t. .c ■�.% <br /> SIGNATURE C` " ; ,' 0/(f j/ 6 `-L-- REGISTERED 1 Y / N I FEE CURREN I Y / N I <br /> Address &u License # <br /> , r- , (W., t <br /> PLUMBER � t ! COMPANY ti._. L 4: / 4„ r - IAA. c.‹.. I ,.---� - <br /> U , u -) t C - - / k .'ac <br /> . <br /> SIGNATURE L y REGISTERED I Y (0 )I FEE CURREN I Y/ N 1 ; ` <br /> J v <br /> Address License # ( I A C3 C 41 `3 ` TCC.) <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREIN 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 /> FiII 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 />