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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department �j 1, <br /> D Received �( _ -- D Phone Contact for Permittin• ( ) <br /> Owner's Name , % <. L , \ ..,-. ����.5 ` ..,�■,\ Owner Phone Number �`3 - -; - 3 0, 3 <br /> Owner's Address l.9 `) A\ C', Sy . L'i ` 5-o Z �45 Owner Phone Number b `1 i q - 9 3.4 1 1 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address \ I <br /> JOB ADDRESS 3�'� �, �� \b\ \ \\ Z T��,..�X\1S \ �.• �� S rr? 1. LOT # l \\ <br /> SUBDIVISION S`tt'Q \J \ Xa\\- N,-j PARCEL ID# `6)...- t- . k\ - "W U - c)S '046 - D(1\ D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR L _ I ADD /ALT I I SIGN n r--1 DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE n SFR 1--1 COMM I 1 OTHER '' ■.< ' p .... Q _ LN <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME I I STEEL n I I <br /> DESCRIPTION OF WORK ' \ V� � ,, S - L\ (A/c <br /> ,�, � ) ^ BILDING SIZE � ' q SQFOOTAGE J HEIG f \ \' <br /> []BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY <br /> I W.R.E.C. <br /> I 'PLUMBING $ <br /> 7 . - '13 <br /> 1 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 IGAS 1 I ROOFING I] SPECIALTY I 1 OTHER 1I L � ' cull C IP <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO " • ' tjt <br /> BUILDER COMPANY Cr � \ r,,, S { e,i.) c�_ �e /li it <br /> SIGNATURE e� REGISTERED I Y/ N I FEE CURREN 1 Y/ N 1 I <br /> Address 1 \ \TS \ .0 ' q ` 2 ( V `1 3Y O License # �p J \) a c "�� <br /> ELECTRICIAN M O MPANY "� ��.. q/C c f}�� ,�<o j SIGNATURE � !=- F --- " REGISTERED Y / N �-- it =� �i c � _.. �� FEE CURREN 1 Y / N <br /> Address - - License # I <br /> PLUMBER �\ �-�'— COMPANY 5 r l C o4,,S V aC\ fi Rc,\ ." r, c� v` i 0 <br /> SIGNATURE 'c' REGISTERED I Y/ N . 1 FEE CURREN I Y /N I <br /> Address \� p <br /> re `\ '� - `I License # ) ‘'N.c a L J <br /> " <br /> MECHANICAL riallIVAIIIIIMWM 5 e r$ /� <br /> SIGNATURE e r e 2j� ��/� u COMPANY EDD ¥ / N FEE CURREN I Y / N 1 / <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address I License # I 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 $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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />