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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 4r (0 1 /5 <br /> Date Received 7 7.--/O Phone Contact for Permitting l e t ' 7 d 4 2 — 114 7 <br /> Owner's Name 26 y/K F"' C'''`41 S Owner Phone Number <br /> Owner's Address Y' 29 M ad 4c a Le4.41 Q. /0-- 3 � O wner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /', n ++ J ,, l 'D ' <br /> JOB ADDRESS 73 50 �-'` bw Z� i� L �,► � SD LOT # <br /> SUBDIVISION PARCELID# 3 ' ^ • 2-5s --.49- ^O/30 000 — 0/e40 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 11 ADD /ALT SIGN 1 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR COMM 1' I OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 , B 1 1 FRAME 1 1 STEEL ( I 1 <br /> ,on <br /> DESCRIPTION OF WORK , C' vv.-exec vu! \v 1 bOV) C`St d r <br /> BUILDING SIZE 2333:54!9": SQ FOOTAGE � ` HEIGHT <br /> 1 (BUILDING $ O VALUATION OF TOTAL CONSTRUCTION <br /> 1 IELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> 1 (PLUMBING $ a.cr <br /> C s hl7" 0`cei - �c. -- <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �L�� <br /> C �f G ,/ <br /> 1 (GAS 1 1 ROOFING I SPECIALTY 1 1 OTHER L i �, I t ■ 6/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO 6 - 1 4-1- <br /> ' <br /> St f - � � „ J /0 <br /> BUILDER R COMPANY / <br /> SIGNATURE / REGISTERED I Y/ N I FEE CURREtN 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREI\ I Y/ N 1 <br /> Address LI License # <br /> � <br /> MECHANICAL -� � c � COMPANY Irte /►ZJ 4w - 4-6 �YIC <br /> SIGNATURE / -_ REGISTERED I Y/ N 1 FEE CURREN II Y/ N 1 <br /> Address //2,5r- al< 6l� to ,44 *cv� 0 4 3 2 80-` License # I CF !—CO 3 2-SO <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREI I Y/ N I <br /> Address License # <br /> III111111IIIIIIt111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111i111111111IN IIINIIII II1i111 <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />