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813- 780 -0020 City of Zephyrhills Permit Application • --- • -- - -- <br /> Building Department <br /> Date Received ( - 0 U Phone Contact for Permittin <br /> '- �) 0. 60 - Le 1 <br /> `, 1 Owner Phone Number $ I � - � & et ! / q D <br /> Owner's Name h[u��S i any 'v `Q ' I <br /> Owner's Address 1 "1 / 1 1 - r/ m'b-r w I Owner Phone Number I <br /> Fee Simple Titleholder Namel <br /> Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> I <br /> 4 . 11rnbi( Le r�,i1Ls 335gZ I LOT # I ( <br /> JOB ADDRESS 1 � � Q <br /> 1 PARCELID#I lb r' .9�-0.1 - 6000 - 000(,' - D 19 0 I <br /> SUBDIVISION 1 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> SIGN =I MOVE Q DEMOLISH <br /> WORK PROPOSED I I NSTA ONSTR I ;71 REPAIR <br /> PROPOSED USE I ✓I SFR I 1 COMM n OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK I I FRAME I I STEEL n OTHER I I <br /> DESCRIPTION OF WORK 1 <br /> Chtl.n 04 N I e- 8Gk� rc...0 1 <br /> BUILDING SIZE I I SQ FOOTAGE I 1 HEIGHT I I <br /> 1 BUILDING I$ I VALUATION OF TOTAL CONSTRUCTION <br /> AMP SERVICE I 1 PROGRESS ENERGY [ W.R.E.C. <br /> I I ELECTRICAL I$ -' <br /> 1 1 PLUMBING Is I <br /> I <br /> VI I$ J{ aA, 00 <br /> VALUATION OF MECHANICAL INSTALLATIO Z _ -__ ---------' <br /> //g027 <br /> I I GAS n ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS ( I FLOOD ZONE AREA 1 IVES InNO <br /> COMPANY 1 I <br /> SIGNATURE I I REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 <br /> I License # 1 I <br /> I <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE <br /> REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> 1 License # I I <br /> PLUMBER COMPANY 1 <br /> SIGNATURE <br /> REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> 1 License # 1 <br /> I <br /> COMPANY ISO UTI-IE IRS 61-4-04-1- SIGNATURE <br /> MECHANICAL REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> ��11 / `7 f � 0.�' 0 K6•51• - - G, <br /> Address ( T• Go B fl 1 Rte- • 335111 License # 1 CAC t &' 1 3 3 7 1 <br /> OTHER COMPANY 1 <br /> SIGNATURE <br /> REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address <br /> 1 License # 1 <br /> 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) 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 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 Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />