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813-780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> n 2j Building Department ; / 1 <br /> �f 1�� 1 <br /> Date Received /l ,, W Phone Contact for Permitting -- <br /> Owner's Name C -1! & <br /> _ S T E Y L S 7 , Owner Phone Number (Z13) 7Pa-9 S4 ) <br /> "��� R 33Spwner Phone Number Ce /3) -- 7 - <br /> Owner's Address -� y _. .- - • ',L R. _ as , <br /> Fee Simple Titleholder Name �7 Owner Phone Number <br /> Fee Simple Titleholder Address Al / /- / <br /> JOB ADDRESS A e L �2 r % y f4-1 QPOie7 2/ !(.s-S f%L LOT # <br /> SUBDIVISION PARCEL ID# /c2 r,242 _.2 / - Oob D - 0 O O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED F5K1 NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM DK OTHER ,grfj /,;t'�falk: !�`: Mr.,1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME STEEL 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK 082/'77/ .00 /77 04/00 rte. *6 <br /> BUILDING SIZE F7') ADO SQ FOOTAGE 1t i i t r HEIGHT RV <br /> IESI BUILDING $ <br /> d0 DO O i) 0 VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I R.E <br /> TA_ 4 i <br /> I 1 PLUMBING $ Q j d ri° ''` J <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ND� ell Y" 1 r/ <br /> eed fir e /16 / I, <br /> I 1 GAS 1 I ROOFING I 1 SPECIALTY I OTHER A j • .°'% S t„ ( <br /> W7 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO 'i � lit <br /> BUILDER COPANY �. L � <br /> . 7 tSYE CO ST2C <br /> CiT /O� 1 <br /> SIGNATURE Abu -4�1c �_� �� aieY L. rSTfY� REGISTERED M I Y / N 1 FEE CURRENT I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N 1 <br /> Address 1 License # I <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 />