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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department /11 <br /> { Date Received Phone Contact for Permitting ti 1 ) Z Sa - 1 DG 4 1 1 /Yn <br /> - rrr r Willi <br /> Owner's Name NAtnc&{ 1.4 4.1 it t L N i. Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 317 4 N ..kom nV it LOT fl I Q c <br /> 9 <br /> SUBDIVISION 414 017) 1./A(17.04 PARCEL ID# 31f-as- alit - p090 - OOOeO -On I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED u NEW CONSTR R ADD /ALT r, SIGN Q n DEMOLISH <br /> H INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM F OTHER I <br /> TYPE OF CONSTRUCTION (-1 LOCK FRAME STEEL 1 1 <br /> ? /sgfl <br /> DESCRIPTION OF WORK 111145C) Serctr I,y‘elu4 ' c tOnefett -- <br /> BUILDING SIZE 1 SO FOOTAGE I Si 7 t J HEIGHT I <br /> ILDING 1$ y z . 9a VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL I$3517. °O AMP SERVICE I- PROGRESS ENERGY Q W.R.E.C. <br /> E1PLUMBING I$ I <br /> nMECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> 1 O ROOFING 0 SPECIALTY 1 ---- 1 OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOONE AREA 1 NO <br /> • ,.I 1 . .11.. a••ar Ia.aa,.a .,aalaaaal <br /> 9 <br /> R <br /> BUILDER I -Sv4 <br /> / COMPANY o <br /> SIGNATURE (r� - --,. REGISTERED I Y/ N I FEE CURREN l Y/ N I f3 <br /> Address 1 410 Molten" h? E <br /> ,b RA . ,, a I License # I l'.0 e0 5 77 Y . <br /> ELECTRICIAN o ' /� t COMPANY ( �Y/D/CT(J� G!'GC I <br /> SIGNATURE n /��l v y���Q �• REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address I P P AO / 53 z //,i/ Pi_ 1 License # 154P06.2 (1413 <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED <br /> I Y! N I FEE CURREN I Y/ N I <br /> Address 1 <br /> License # ( <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N I <br /> Address <br /> 1 License # 1 <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN. 1 Y / N I <br /> Address 1 I License # I <br /> I111111111111I 1 11111111111111111111111111111 11 <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 8 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: I 1 .• ` <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 82500, a Notice of Commencement is required. (A/C upgrades over 87500) <br /> Agent (for the contractor) or Power of Attomey (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 />