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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department '\ ( i i o o <br /> Apr <br /> Date Received ` YIF ----7/ _- 14 2 3 <br /> Phone Contact for Permitting <br /> IT <br /> f , ! <br /> Owners Name 2efhYf ! ,1 ce C-L( ( Owner Phone Number <br /> Owners Address 2 270 39 ^ , S .� 1 • 1 c k ( EC Owner Phone Number <br /> Fee Simple Titleholder Name !u /'4 /� Owner Phone Number <br /> Fee Simple Titleholder Address �/ 1 {{ r <br /> JOB ADDRESS Ki e,S 9 Go ( / o I 1 vd, SU / Ij <br /> Z /p l Q S LOT # l 1 <br /> V <br /> SUBDIVISION PARCEL ID# 2- C( - 2- ( -Go i U 0 Z-100 - 00 l cl <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR — I I SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM 0 I I OTHER I <br /> TYPE OF CONSTRUCTION 1-1 '' ff BLOCK n FRAME I ( I STEEL n I <br /> �( <br /> DESCRIPTION OF WORK '('1. t' / (/ �Jh4 4( it J I t J [ ( I') <br /> BUILDING SIZE SQ FOOTAGE 1 Di i eJ HEIGHT <br /> I ✓ (BUILDING $ r i 6 C VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> I `/ ELECTRICAL $ t 0 AMP SERVICE I I PROGRESS ENERGY In W.R.E.C. <br /> I IPLUMBING $ • <br /> ETMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 n ROOFING n SPECIALTY F OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> 1 .1... " .I..II•I 1 <br /> f <br /> ^ <br /> BUILDER JC �, 1 COMPANY RN -¢t'5 J ( 'IA (vi, • <br /> SIG • aQ REGISTERED I '` N I FEE RREEN I I <br /> Address �D/ S- 1 -€vrlom I ,n ttt �a aksV i( (e, FL License # I e 50560 y <br /> ELECTRICIAN <br /> /2:4,./ ��% COMPANY v y S` UtRi^ (0 I <br /> .. ...„*SIGNATURE .. ...„*SIGNATURE �f I FEE CURfREN I �j / / N <br /> �z / J . c� 1. Ic. YY � Cs c c/ r7 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED <br /> 1 Y / N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED <br /> 1 Y! N I FEE CURREN I Y! N I <br /> Address <br /> License # <br /> 11111111111111111111111111111 1111111111111111111I111111111111111111 <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 /> –1-1–I-1-1-1-1-1 I ' ' ' I 1 1 1 1•• 1 1 1'' 1 1 1 1.11 - . <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 $7500) <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 roadways. needs ROW <br />