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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 Permittln 0 i �g _ f ! 1 ! III <br /> 1 1 1 1 1 1 1 1 Qr <br /> Owner's Name N A t• e , 115 ��, 1 1 1 Owner Phone Number D 1' • 1 ?) <br /> Owner's Address Itiftt f, w1 5c.mvseitacA2.1 Owner Phone Number <br /> Fee Simple Titleholder Name 1 1 0 1. 1 Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 5 O A1.1.9OSi&. KYhbao -0 /e. LOT* ILA <br /> I <br /> SUBDIVISION PShL CAM PARCEL ID# 24.2.4)•2.1 ' cock • ow oD• to9D <br /> ET - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR E ADD /ALT r] SIGN r n DEMOLISH <br /> INSTALL C REPAIR <br /> ' <br /> PROPOSED USE �K / SFR Q COMM ri OTHER I <br /> TYPE OF CONSTRUCTION I-1 BLOCK 0 FRAME I I STEEL [------ <br /> DESCRIPTION OF WORK I'+% 4Ck fl pO - mode 1 <br /> BUILDING SIZE 1 14 - % 3 r SQ FOOTAGE (LII - HEIGHT ���JJJ <br /> UILDING ( $ t ae' <br /> co 00 VALUATION OF TOTAL CONSTRUCTION 4 24♦ co <br /> u$ <br /> I ELECTRICAL $ � t AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> I .LUMBING $ <br /> 1 HANICAL $ I VALUATION OF MECHANICAL INSTALLATION <br /> r]GAS r1 ROOFING rI SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA rIYES NO <br /> 'i111• " 1'I1•'1'•IIII1I11 <br /> BUILDER COMPANY I t.kc* \,L I - tbMe. Ssc.. i <br /> SIGNATURE REGISTERED / N FEE CURREh I�V� N I <br /> Address I 3rd Serun►trv,,�f /t, License # IlNltZSZIO <br /> ELECTRICIAN COMPANY I era* a_ L <br /> SIGNATURE Fit/MI . ' 1 �� a I <br /> REGIST FEE CURREI. RUN N <br /> Address :: s1 A 1 - J I Et-00 12 <br /> t i I► License # <br /> PLUMBER COMPANY I C. *.r 1" l b k e �Q,./1Q_ S . SIGNATURE ', I 4!L REGISTERED If VI N ar N <br /> 1 F EE CURREI, I 1 <br /> Address (1N 1D25210 <br /> l�1 ■ l j . . ! [ � . � License # <br /> 1 <br /> MECHANICAL. ii / / COMPANY (g &)C, <br /> t <br /> SIGNATURE �� r _ REGISTERED N FEE CURREN 0/ N I <br /> Address 02 !� 'iL' . •' IEll License # ICAr n4 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURREA 1 Y / N I <br /> Address I License # I I <br /> 111 11111111111111111 IIIII <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Budding Plans; (1) set of Energy Forms; R -O -W Permit for new construction. <br /> Minimum ten (10) wonting days after submittal date. Required onsile, 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 Budding 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 (PIot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />