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813 - 780 -0020 City of Zephyrhills Permit Application rax -C i i ,ou -uuL I <br /> Building Department (. f V ,L e ,%ro '1 7 <br /> Date Received // Phone Contact for Permitting of f 7 /11/ tt /0 5,z <br /> -- <br /> Owner's Name pro /V , 'l ' ( e " R' Owner Phone Number )13 7iit `t277 / fop <br /> Owner's Address 1 j 9055 9 )4 4t' Le-, r/ N FY ' Owner Phone Number I <br /> ✓ I <br /> Fee Simple Titleholder Namel <br /> I Owner Phone Number I <br /> I <br /> Fee Simple Titleholder Address 2 p Q 7 � p / � <br /> JOB ADDRESS 1 c� / v ` A- z 4r' "`�° I /Y X V I LOT # <br /> SUBDIVISION 'L-olI7 e/� lUood 1 PARCEL ID #I /oL ` --0 ^ 0 9d —O L .'� Z6 <br /> l !� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED W NEW CONSTR I I ADD /ALT I I SIGN n MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL F OTHER I I <br /> DESCRIPTION OF WORK 1 / a_" ` Boil �rna r .....044-402 I <br /> BUILDING SIZE SQ FOOTAGE l 33 l HEIGHT l l <br /> i m BUILDING $ / 0 00 • cj° VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE EI PROGRESS ENERGY 1 1 W.R.E.C. <br /> 460 <br /> I I PLUMBING $ <br /> [] MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 I YES I] NO <br /> 7,-,2 ti• p • COMPANY {,, / CV�c✓ , i BUILDER 7. �r�. <br /> 7 ' / / / ` oa.) / ¥ F EE CURRENT Y / N I <br /> SIGNATU ,12Z , / 1 REGISTERED I Y/ N I I <br /> r 39d ■ss $ be Z9 ` /�( J ' License # <br /> Address 7 /�f JJ �r <br /> 7 ✓ ✓✓ ' " COMPANY 1 WW -X ' 7' / 4 c j <br /> ELECTRICIAN -�� ---"'� <br /> SIGNATURF-` '!` REGISTERED I Y / N 1 FEE CURRENT ( Y / N <br /> 1 <br /> Address 398s3 5' 1 C e ZQ�6t r�' License # <br /> PLUMBER �� COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address - ;v License # I <br /> MECHANICAL ' COMPANY da.)Mr <br /> SIGNATUR -� i REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 3 1 aST VI-" NIMM_ License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I 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) 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 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br /> I <br />