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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department /// j Z <br /> Date Received Phone Contact for Permitting g/ 7f 2 4 <br /> tttltttIIIII,II p <br /> Owner's Name f Z/ � ' q/j C/`' is ,(j 2/41. <br /> �/jN �R4 Owner Phone Number Si? - 7QD 'I <br /> Owner's Address ?j 0.1) '57 �//6'R IZ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 63cZ4f) £ t l lei< DAf{S cDtC. LOT # <br /> SUBDIVISION bike . 4 PARCEL ID# e9.5" cQ6 - cL1 " I/24 - dDODD - 0/7Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ✓ . ADD /ALT 1 SIGN n MOVE I DEMOLISH <br /> INSTALL 1 REPAIR <br /> PROPOSED USE 1 1 SFR I I COMM h OTHER I ( <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK 4' l /9 NB (°- p e (a Pe, he v <br /> 4DGC,p) <br /> J l/ <br /> BUILDING SIZE SQ FOOTAGE ! 1p 4 HEIGHT <br /> I BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> 1 I PLUMBING $ <br /> I I MECHANICAL $ i/ 9 9 M VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES n N0 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # I <br /> MECHANICA COMPANY e,qh 6 I-/'O,Of//th9 i 44 <br /> SIGNATURE / e - n2 i --'' <br /> 1 Z44 >.Q� . REGISTERED l �Y N I FEE CURRENT I Y/ N I <br /> Address <br /> `/ / ,4//e),/ �P 1, •Z /'� /!CS 11 Y5 <br /> ' /7 Lice # eI9&) 1-/ 39 T 8 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <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 $5000) <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 Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />