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I 1 <br /> 813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received GG a - /DZ.' i:' 1 1/ 7 o <br /> Phone Contact for Permittin. OL� / V �I <br /> Owner's Name N?t - fj. Its L '- Owner Phone Number <br /> Owner's Address Wig E. CA111 CikCta -t l). Sift a' 3 ID Owner Phone Number <br /> Stobt'sdate„ I AT. - 65aS! I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3811 Lo-cost , 51. t- Tei „ \ k f ( LOT # ( 1 t1,3 <br /> SUBDIVISION 111 % , r4'L, b A.K5 PARCEL ID #lay' ?1 a7 -OQ3o -00000- /310 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED u NEW CONSTR ADD /ALT I — I SIGN O DEMOLISH <br /> H INSTALL _ REPAIR <br /> PROPOSED USE n SFR 0 COMM t l OTHER I I <br /> TYPE OF CONSTRUCTION n / BLOCK Q FRAME r I STEEL r i <br /> DESCRIPTION OF WORK I Nap Orr OA/ r14 ' CWI Ow rt t.. <br /> BUILDING SIZE /aI a4 SO FOOTAGE 1 /a HEIGHT I <br /> I UtLDING I $ai0s aD VALUATION OF TOTAL CONSTRUCTION <br /> riELECTRICAL I$ ! AMP SERVICE n PROGRESS ENERGY <br /> Q W.R.E.C. <br /> niPLUMBING I$ <br /> r—IMECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> f <br /> I IGAS n ROOFING Q SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA r NO <br /> BUILDER , ��^- � � - / . <br /> SIGNATURE ■ l COMPANY I41(7 gQNS;b/� <br /> REGISTERED Y/ N I FEE CURREN S I Y/ N <br /> Address l> I a1 d r 5 1 ' <br /> License # t„� Z O <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address I <br /> 1 License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address <br /> 1 License # I <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N l <br /> Address I I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y 1 N I <br /> Address I I License # I <br /> 1111I111111I11111111 1111111111I111111111 111111111111111111111111111 <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 /> • • • • 1 { <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AIC 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 />