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813 - 780 -0020 City of Zephyrhills Permit Application /t� /L Fax- 813- 780 -0021 <br /> Building Department . (44 3 <br /> _ R t i_i .d.fa_ k• <br /> Date Received . 5 ' � f . 4 . 4 9 P h o n e Contact for Permittin e gig 7 P - f t ( C --L <br /> Owner's Name ' ♦ l 4 Li,+' kd' Owner Phone Number f 3 - 28r —1/ 6 <br /> Owner's Address 73�-..- L e_ k k e__-ir Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS SCc,IM.G. , I ,¢ `' / LOT # <br /> AA �� <br /> SUBDIVISION AA J klAce. `{ _ PARCEL ID# J5 -- a - � � ~ his. 6 0 <br /> l (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR (r ADD /ALT 1 1 SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE r SFR I 1 COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I 1 FRAME 1 1 STE 1 OTHER <br /> , . <br /> DESCRIPTION OF WORK <br /> Lc. V VI. a- 4 e n f v J-c V Cr.. e4-4 e,. ` _ <br /> , s <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 <br /> BUILDING $ 0.1. VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 1 C.E.C. <br /> rfl ,,. <br /> PLUMBING 01 r <br /> MECHANICAL , b _ VALUATION OF MECH INSTALLATION �Z�L'/ 04o/h eft" <br /> I GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA IVES f NO 3 d I � <br /> 1 2f <br /> j% P I . <br /> A <br /> W <br /> BUILDER ✓�� �^' COMPANY <br /> SIGNATURE /' 2' L7 ,00" REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address - 2---- Le r � ;. _ License # <br /> ON. ' r- <br /> ELECTRICIAN q)c ' COMPANY 1 , L <br /> SIGNATURE r / REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> G � <br /> Address /� ��? /0 -Mt S � t...‘ •�S License # !�- -� �� �3 � Z � • <br /> - 0 PLUMBER _ �f,.Q + � 1 r COMPANY —..,. r - - - <br /> p �SIIGNATURE ., -� . / ✓ \ � 3, REGISTERED Y / N FEE CURRENT I Y / N I <br /> NA 'l f � <br /> (Q t � 0 0 3 �i License # <br /> Address Y � , � <br /> MECHANICAL . C s / /�., �C COM SO 1. '4 5 . <br /> SIGNATURE7 l REGISTERED I Y/ N FEE CURRENT I Y/ N I <br /> Address 10(•57 3s ( ,o_e_v_ia ` License # IC C- ) Lg 4, <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 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) 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 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. (NC 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 />