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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department it (/` / 31 Date Received .. ' f --- (3 — t 0 Phone Contact for Permitting .3a Z — 7?? - / 9 2 3 <br /> Owner's Name Z-6(247,/ ( L L C Owner Phone Number J 3 r II D 6.2 <br /> Owner's Address 3 G 2 t P144 4 c4 Lr /a �, y FL- 7 ?6 / 7 Owner Phone Number <br /> Fee Simple Titleholder Name ' /8 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS i;i6 1 ;�/;o� c4 ( /cc C/ 71 ) I," eve" 7a�4 , 60 3.?5"y / LOT # <br /> SUBDIVISION 76.i / ( 6 ,— VC_ PARCEL ID# .33 _ ✓` ( Q/ 3 c O l -- Q /Y 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 11/1 MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR I I COMM 11 OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME I 1 STEEL ( 1 OTHER I I <br /> DESCRIPTION OF WORK �LecrA.i / ( 6 ✓,9 6 ( c, i <br /> BUILDING SIZE SQ FOOTAGE /F--f s iT HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRU ION .3, 4 ` O • <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY W.R.E.C. <br /> I 1 PLUMBING .$ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nNO <br /> BUILDER COMPANY /(C,C4$ Sf N Boll: <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address yo/ License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER (S ��J��Z�� 5'/�� 004,,—? SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y 1 N 1 <br /> Address - 7 0 / C � 4 /C -,� /�z /Cr✓; G (6 ' , l � .,' 6 0 1 License # C5 OCo© `l i 7 <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 /> r4 <br />