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813- 780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department /� �{ <br /> D <br /> 4 ,, <br /> ate Received i . — � X -- / - Phone Co act for Permittingg & `T /� ✓ -- v //3( <br /> Owner's Name IV� L) C Owner Phone Number 1 3 - �� f - 5`f /e t <br /> � Y L <br /> Owner's Address (coat I'.k v Nef Si.--- - Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number I <br /> Fee Simple Titleholder 1Addreess , A r c L �, <br /> JOB ADDRESS I`19(3 tl -C J VQ CST I Z PPI) hl'1IS ,1 LOT# <br /> SUBDIVISION Py�l✓1 K. PARCEL ID# ` ^ ail, (a 3 � 1 Oa' b l ab O`n <br /> 7c j <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR C ADD /ALT 1 SIGN n n DEMOLISH <br /> H INSTALL C REPAIR <br /> PROPOSED USE Q SFR Q COMM I 1 OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME FT STEEL Q 1 J <br /> DESCRIPTION OF WORK T 1 e_ `0 \‘(\(-loM 1 7_ r • <br /> BUILDING SIZE SQ FOOTAGE I 1 HEIGHT <br /> I I $ '1 !aoo VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE n PROGRESS N =RGY , I W.R E.D. <br /> nPLUMBING $ / l /�.cL% " 1 "1 <br /> GJ/ l S I 2, <br /> nMECHANICAL $ VALUATION OF MECHANICAL I+l,STALLATION ,� ,,,, <br /> []GAS I ROOFING n SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA F YES NO <br /> I I I I I I I I I I I I I I I l l l l I l l l I l l l l l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1f .( <br /> 1\1,1 1 1 1 1/'�� <br /> 1 1 11 11 1 1 1 1 1 <br /> BUILDER 4i II • i COMPANY I 1 W1 \ L \ 1� <br /> SIGNATU - 't w� � REGISTERED 1 11 Y N 1 F CURRR / 1 N 1 <br /> Address 420 ! v• V'(�_�I 9 s e, D C IW 1 ti I License # IC LJ / 1C I SI L( 1 1 <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURREN. 1 Y / N I <br /> Address License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 YIN 1 <br /> Address License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N I <br /> Address License # I <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # I <br /> IIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111 <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 /> 1'1 1 1 1 1 1. 1 1 1' <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (NC 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />