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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> - I 61 9 Z; Building Department <br /> Date Received -- ,j 1 b Phone Contact for Permitting 3' 3 6 - - /3) , l oo • <br /> Owner's Name RA E 7H o j L Owner Phone Number £ ' 5 13 - 4 <br /> Owner's Address _ Li 0' 7 , 1 Owner Phone Number C%63 fs3 r- 1 04 <br /> _ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> C� <br /> JOB ADDRESS 2 `� 0 iO TM t /71,4941r1 Z'-s, Pi- 3, 4' LOT # <br /> SUBDIVISION PARCEL ID# /0 ` 2 -. ) - WX 000 _ 0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT � 1 SIGN I 1 n DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE I 1 SFR n COMM I I OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK [ ] FRAME I I STEEL n I <br /> DESCRIPTION OF WORK 1 I .�iQ�X j ,�,�,p 4,t a .;, 1 <br /> � F <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> (BUILDING $ d j 1 00 °— VALUATION OF TOTAL CONSTRUCTION <br /> IELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> (PLUMBING $ <br /> IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1GAS I I ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO <br /> 1 <br /> ii , <br /> c � Nif-- ' r BUILDER v I' � J � �� COMPANY G' %� '� <br /> , 1 �. • <br /> SIGNATURE —P 0 7 REGISTERED Y / N , FEE CURREN Y / N <br /> Address r (� karArt o IlL P I. r 1 License # I C Be. of o ? 3 <br /> r, <br /> ELECTRICIAN t \ j _ ` \� t " COMPANY p ps,�, c. L,_ <br /> SIGNA U a1/ I/ REGISTERED [ Y / N . 1 FEE CURR Y / N <br /> Address P j;)_ 401C. 46 - ,2. 4 License # Et (SOO Ili 3 <br /> r <br /> PLUMBER _._ ANY - _:._ . - r..n-_r -. I 11(i6[ <br /> SIGN 1T!E ` REGISTERED I Y/ N I FEE CURREN i Y/ N i <br /> Address — - . - .e r 1( ' License # G 9 3 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br /> • <br />