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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department # / /di/ <br /> Date Received — -2.27 - t D �l Phone Contact for Permitting 27 z - /o/ ` 7 <br /> Owner's Name -- E/Pe- 4 - C ,4 /�(I ^ , Owner Phone Number 6 r 3) 74 — <br /> Owner's Address 89' <br /> ' ck E- Owner Phone Number <br /> • <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address 4 / � <br /> JOB ADDRESS ' 3 N 4 6 (z 7C / .- Y r f z (T V t' 4.4 LOT # <br /> SUBDIVISION UT"( ?"Y 'Ot row cekt rL l PARCEL ID# 4 C - 2- 1 O a D9 O Q - (30z 4) 'c <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 I I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Ep SFR n COMM I 1 OTHER I Kk F <br /> TYPE OF CONSTRUCTION 1 I BLOCK nI n FRAME �^ I STEEL I <br /> DESCRIPTION OF WORK k-c �. L OF: l�(�PC/4 C (w (., / Tr//V0 A.1646 y' /1-( C/t4 & AIO <br /> BUILDING SIZE SQ FOOTAGE 1 5' HEIGHT <br /> (BUILDING $ 1 l {v (� <br /> f VALUATION OF TOTAL CONSTRUCTION <br /> l hl <br /> (ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> (PLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (GAS ROOFING I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO <br /> //� C�' n <br /> BUILDER , ,��� ` COMPANY ALL 1 Y� "f V l T CP �' V � 'i" //art . <br /> SIGNATURE U °\ REGISTERED a N FEECURREF ( Y7 <br /> Address 13 3 - t;LTt &fir' if+10, 4 License# I CJ C C t 'Z7 4 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt` I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI 1 Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREP I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREh I Y/ N 1 <br /> Address License # <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 $7500) <br /> ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized Ietter 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 />