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813 - 780 -0020 City of Zephyrhills Perm Application Fax -813- 780 -0021 <br /> Building Department ( I I I) <br /> Date Received ` 0 - 6 - -, O / 0 Phone Contact for Permitting 7) 7 4 * -- 7 9 / <br /> Owner's Name G— �-� rpd Y7 60/144/04/ Owner Phone Number (4 3 3 , 7.- s <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ry <br /> JOB ADDRESS 79 34\ 6--ALL g l V i) LOT # <br /> SUBDIVISION 2E 'PA l i common( PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN I 1 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK r7 FRAME I I STEEL I 1 i 1 <br /> DESCRIPTION OF WORK If ' ) TE 1 ( DS 2,--) - e) V ( »t, ,Yr <br /> BUILDING SIZE °\i( 7 SQ FOOTAGE ( v \ '1' fl HEIGHT 1 i t i <br /> BUILDING ` <br /> (� <br /> $ 1 1 6100 VALUATION OF TOTAL CONSTRUCTION ` <br /> ELECTRICAL $ A l J <br /> s -r, V AMP SERVICE PROGRESS ENERGY / � � W.R.E.C. <br /> C �}� <br /> PLUMBING $ 8 50 <br /> /// A � V <br /> MECHANICAL $ a). O o VALUATION OF MECHANICAL INSTALLATION).." ' ,;"6.2 6 <br /> IGAS ROOFING n SPECIALTY I OTHER &) attet <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO w J It <br /> BUILDER <br /> V � COMPANY <<E N N`i CO CO NST2It CT. 10 fJ SIGNATURE - REGISTERED ( Y / N I FEE CURREI` I Y / N 1 <br /> Address '1- Z0 w 00 CI r cii 7k Ca; 1 fY.',Iv, ' <br /> 8 �2 � License # C— C / -ij r <br /> N _ .n ; tY 4 77 <br /> /'^ � s C' ELECtRICIAN � _ CEGIsTEFT,.. OMPANY <br /> SIG ATU <br /> � D � I Y / N l _ FEE CURREh I Y / N <br /> Address (License nec se # <br /> PIZ 5g f t <br /> PLU , / t 1� COMPANY <br /> V <br /> SIGNATURE REGISTERED i Y / N I FEE CURREh I Y/ N I <br /> PI 76 - CC-' <br /> y../Address L - License # <br /> SIGNATURE L � �[[,� COMPANY b� X1111 4 kra ( C/ iz F - ,1.7 <br /> REGISTERED I Y/ N j FEE CURREh ( Y/ N 1 <br /> Address l License # . <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREh 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 $7500) <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 />