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813-780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �" . ■ Phone Contact for Permlttl • - <br /> Owners Name 3 b 4f 1 . I, exAS- /� Owner Phone Number <br /> Owners Address 1 Soya / 3 Ct`'IL e/7 O r 1 Owner Phone Number 1 <br /> Name Fee Simple Titleholder 1 J I Owner Phone Number ( <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS 1 5 7 ' - / Ti e b, 1 LOT r I <br /> SUBDIVISION 1 94 r //e1.4 f5 ( PARCEL IDN f,7 ;'? - 2 / - 'oq1- Daiao - o,i I <br /> J (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD /ALT r SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR D COMM F OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME I -� STEEL Q 1 <br /> DESCRIPTION OF WORK 125 hen CGrfll/ 6464 C CI-T coif /7641/9/ M /�1C1�1P/� <br /> BUILDING SIZE 1 1 SQ FOOTAGE 1 1 HEIGHT 1 <br /> r BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> ni ELECTRICAL 1$ I AMP SERVICE PROGRESS ENERGY <br /> =PLUMBING 1$ 1 j � l `7 <br /> ti OMECHANICAL IS 6 1 VALUATION OF MECHANICAL INSTALLATION r <br /> n� = ROOFING 0 SPECIALTY r OTHER _.....-------1 <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N ( FEE CURREN 1 Y/ N <br /> Address 1 1 License* 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED WEE t® <br /> FEE CURREN <br /> Address I 1 License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N <br /> Address l 1 License* 1 <br /> MECHANICAL COMPANY I rm '/ <br /> SIGNATURE _ / REGISTERED 1 - Y 1 Y N 1 FEE CURREN ,f 1 Y / NN / ( <br /> Address 1 MO W & t4 ?hie/ J 77 3.g� License # c � 1 i /V552 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N <br /> Address 1 1 License* I <br /> 111111111111111111111111111111 1111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fours; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Constriction 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 Plane 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, Stornwater 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) seta 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 1s requred. (NC upgrades over $7$00) <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 roadweys..needa ROW <br />