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813 - 780 -0020 City of Zephyrhills Permit Application /4 4 1 Fax -813- 780 -0021 <br /> Building Department J <br /> Date Received "7 - /C f /6 ©! <br /> !� N Y I N 6 7 L / / F Contact for Permitting O 3 7 ?5 __ 5 ( 7‘.5 - <br /> /"t <br /> Owner's Name � T ` `\-/ r< 1 L ! A S Owner Phone Number 7' /3 ' i Ot) ^ Z$ , <br /> Owner's Address S S 0 �� T Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address c3-0.1 JOB ADDRESS 5' 5 e2 S 7 <br /> LOT # <br /> SUBDIVISION PARCEL ID# < l -' a - °Z O� 'O-.• /c�(c)Gp �/ 711 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED k NEW CONSTR I ADD /ALT I 1 SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE In SFR 1 I COMM 11 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I FRAME 1 1 STEEL I I OTHER 1 <br /> C / <br /> DESCRIPTION OF WORK J ' ` e D -- 14/ S Tf4l GL-e.17 /C j(" 1- <br /> BUILDING SIZE / 4C:C )4 t. SQ FOOTAGE / 'Z © HEIGHT / / <br /> X BUILDING $ <br /> Az) 4 5, �� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL <br /> ir <br /> AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.C. <br /> PLUMBING $ V .z 5e /� ^) <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 � �✓ <br /> 11 GAS I 1 ROOFING I . 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES I INO <br /> A <br /> BUILDER ( e <br /> COMPANY �N/5'` , POleU �ItQvS .IPc S <br /> SIGNATURE 4. R O ' _ REGISTERED 1 Y / N I FEE CURRENT Y / N <br /> Address 31 to / Cv. i ' 8L. fr . License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # P <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 $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 />