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813-780 -0020 City of Zephyrhills Permit Application J 12 - �� Fax-813-780-0021 <br /> ,,ll Building Department <br /> Date Received / .. — 1 — i(/ Phone Contact for Permittin 727 / - • c� <br /> Owner's Name Sye >f 5.4/FP /I/ ` Owner Phone Number V,/ — 7 2 .? 9 6 ' <br /> Owner's Address 9 010 pit # DZ> / 2D4P Owner Phone Number q/3- 7 �� 6 PAX <br /> Fee Simple Titleholder Name Sye-P Ufa - S }fPP '/2 "142 Owner Phone Number <br /> Fee Simple Titleholder Address 3' MoD ' �2OM0 ee/yfi1/(ZLS ' , 33 ✓� <br /> • <br /> JOB ADDRESS 37 `ie, / i ' 6/7 b'",)&>/A///1-1- I 3 S �f LOT # <br /> SUBDIVISION PARCEL ID #I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT SIGN n [ DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE n SFR l . COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME 1 1 STEEL n <br /> DESCRIPTION OF WORK I .4 f - ( l ) A4o,i , v4( z i'7 sld�A•v'D Q/et- 1, 77 Q w.,tlLs16 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ °� VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> 1 PLUMBING $ i a <br /> ( MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> e GC, <br /> 1 jGAS n ROOFING n SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA n YES NO <br /> ,l <br /> BUILDER w / � J ' �Y COMPANY (�l�diF/L L Oitr • 7L(JC77O.f� <br /> �?�Gy <br /> SIGNATURE ^T/!�' , 't REGISTERED 1 Y / N I FEE CURREI' Y / N <br /> Address I �o -' 4' 4v S�f r !`L. 3)7/'' License � -� — �5 7 5 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N ' FEE CURREN 1 Y/ N 1 <br /> Address License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N ] FEE CURREI' I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI 1 Y/ N 1 <br /> Address License # 1 <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 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />