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813 -780 -0020 City of Zephyrhills Permit Applica iork Fax- 813 - 780 -0021 <br /> Building Department ' ((0 <br /> Date Received Phone Contact for Permitting � - <br /> / <br /> Owner's Name L_._ I )n k. 0 I.1 t \\ Q, V Owner Phone Number <br /> Owner's Address 3' 2-3 e qC!!w f?. U t" � V „ L • Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS `j (C )- 3 R- \" c-, ci c-, C -- Z e p t1 r 1 1 ` 7 v• ( LOT # <br /> SUBDIVISION 5t_)y,. se - ( :` ,S Vi i . Y<-.. , PARCEL ID# ( Z - l( - 2 -i - 0 3 I 0 Cook c 7 6 o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 ( SIGN I 1 I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR r--1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK n FRAME 1 1 STEEL I 1 1 I <br /> � <br /> DESCRIPTION OF WORK V L ) ` [ 1-1 5 cc_ iuv / c. 3 •1( 614-P T l AAb fr l ( t'l <br /> BUILDING SIZE SQ FOOTAGE a Sr HEIGHT <br /> ( (BUILDING $ lL' 3 ' S iC O VALUATION OF TOTAL CONSTRUCTION <br /> ( (ELECTRICAL $ AMP SERVICE I ( PROGRESS ENERGY I 1 W.R.E.C. <br /> I IPLUMBING $ <br /> (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ( (GAS ROOFING I] SPECIALTY i I OTHER <br /> FINISHED FLOOR ELEVATION FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURREN I Y/ N I <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREP I Y/ N I <br /> Address License # 1 I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED ( Y/ N I FEE CURREI' 1 Y/ N I <br /> Address I License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address License # <br /> �f L <br /> OTHER COMPANY /JC. e` (. ` ✓S�� C y,� uh. /< "? ' 1: ""c: <br /> SIGNATURE ✓ /`� �'" `` ^ "�_ REGISTERED I Y / N _I FEE CURREI� I Y / N <br /> Address P C uj ,-)X 1 ( _c;. I , eq-k1 dih i ;'/ 135S76 License # I ( C 2 3 1 � 1 7 <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-0-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 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />