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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department LYi ( /"1 5 (1, <br /> Date Received Phone Contact for Permitting ii..? ,71k -- � 9/ <br /> Owner's Name G CG &.1 e °711/4 Owner Phone Number 63 .3 3 - / 1` 9v <br /> Owner's Address <S0 y 7aarrit a. &M. ,d r • Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address - <br /> JOB ADDRESS JJ - Z <br /> Y O ht- eswe LOT # a <br /> SUBDIVISION E ^ , 1 7 � - A2 / ` r l ( '' PARCEL ID# &T_ 024 4 - x2760 <br /> // _ _ /. A _ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR T ADD /ALT ( I SIGN MOVE ( DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR I I COMM 1 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION I I BLOCK 1 I FRAME I I STEEL I ( OTHER 1 1 <br /> tcLotai <br /> DESCRIPTION OF WORK <br /> IL , <br /> !!fit 4/ BUILDING SIZE V - X 1 - Al- SQ FOOTAGE HEIGHT <br /> c <br /> MI BUILDING $ , 0 0 0 , Da VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ sOa. 00 AMP SERVICE 1 1 PROGRESS ENERGY Et W.R.E.C. <br /> T PLUMBING $ 300.00 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION U <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES I 1NO <br /> Oli <br /> BUILDER i V . 41` COMPANY Et e Cc'�i�� -�/� <br /> SIGNATURE // REGI I '(/ N I FEE CURRENT I Y / N I <br /> Address 3 S ' "romJxa -,u- 440t. �� License # <br /> ELECTRICIAN 3 COMPANY ED � `� .I �� FEE SIGNATURE I Y / N <br /> Address JS d 7 T 't2.,4 a.l t A. • 7 # <br /> PLUMBER COMPANY COMPANY ���9 P.�a C.�/iL�L -i` <br /> SIGNATURE ( REGISTERED I Y ]' N 1 FEE CURRENT I Y/ N I <br /> Address 7 t72/7,/�.sit t •0 r . License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # F <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />