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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department 9 <br /> (7 <br /> Date Received Phone .�A Contact for Permitting -- v <br /> TI - 1 - 7 - 1 - r . ,' � �` r //- r �- -rrT 1 1 I I_ 1 1 T <br /> Owner's Name � 1 <br /> " l L E -/(4. o P M <br /> e Number <br /> � <br /> Owner's Address 700 NW 1 D 7 frE SU?1 YoD Owner Phone Number <br /> Fee Simple Titleholder Name M ( � n 3 Owner Phone Number <br /> Fee Simple Titleholder Address Q� /}�tN /� � <br /> JOB ADDRESS 3 772-1 �JJ A I► 7` /V M f /�P /� /� LOT # <br /> SUBDIVISION E 1 LAn►'1) 1 4 k PARCEL ID# V 3 2,6 Z V / 23 o D ODvO b 6 7 �1 <br /> 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR - ADD /ALT X SIGN DEMOLISH <br /> r <br /> INSTALL - REPAIR <br /> PROPOSED USE n SFR n COMM OTHER Ira % /( l.' <br /> TYPE OF CONSTRUCTION n BLOCK <br /> �, 1 {� �� FRAM I E l L f- I /- I STEEL 1 <br /> DESCRIPTION OF WORK R lye' )Lel1 P AL core sENOVI n E <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> - r- r -r•rrr <br /> n BUILDING $ VALUATION OF T OTAL CONSTRUCTION <br /> nELECTRICAL $ I Dfl 1 w W lll!ll AMP SERVICE 600% PROGRESS ENERGY nI W.R.E.C. <br /> 1 (PLUMBING $ V <br /> I 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I IGAS n ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN. 1 <br /> Address /�/J /,�Lii" en yam' cense # �-7 j <br /> ELECTRICIAN Y tl - COMPANY ' - ` Er 641F N R c. e0, <br /> SIGNATURE / � • I � 7 1. P REGISTERED 16/ N I FEE CURREN I C / N 1 <br /> L/Y <br /> Address 2. ' �r e� 'l tool 'PA} License# C200 97J , <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address License # [ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N <br /> Address License # <br /> I111111111I11111IIIII1111111111111111111111111111111111111111111111 <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 len (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. (NC 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 />