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813 -780 -0020 City of Zephyrhills Perm Application 72 Fax- 813- 780 -0021 <br /> Building Department fr 1 r 4 ___ <br /> �, <br /> Date Received / — 7/ <br /> Phone Contact for Permittin • - <br /> Owner's Name Disl V / C;. c h r1 e., L <br /> O wner Phone Num F I S 7 e-/ - 1 // 6,,,, <br /> Owner's Address - ' 3 T) e roo yi-rve_, Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 g CG 1 ' mc., - --, 14 Ne- - <br /> 1 //16 / / LOT # ‘' 7 <br /> SUBDIVISION S le-EP +/ l ! O C O P ID# 0 — 2G-2 -D2-60o0000-0(070 -� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT J 1 SIGN DEMOLISH <br /> INSTALL f n n REPAIR <br /> PROPOSED USE J X SFR ri COMM J J OTHER J <br /> TYPE OF CONSTRUCTION n BLOCK [ FRAME J J STEEL '—' J I <br /> DESCRIPTION OF WORK r lc" ' a_ c_ w , q j C Lt..) ; V el ` U v q; ,) E 44 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUUJIING $ c, VALUATION OF TOTAL CONSTRUCTION <br /> I 'ELECTRICAL I$ I AMP SERVICE J J PROGRESS ENERGY I I W.R.E.C. <br /> J 'PLUMBING $ <br /> 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 'GAS n ROOFING Jl SPECIALTY J ' OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA 'YES NO <br /> Sr it 4 4"q__ 1)I c <br /> S I CDER I l — 11111 COMPANY . t/ A I <br /> C- ✓'i -e./� I .t/yy2/� -A REGISTERED J Y / FEE CURREA i Y/ N J <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED J Y/ N 1 FEE CURREA 1 Y 1 N i <br /> Address License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED J Y/ N j FEE CURREN J Y/ N I <br /> Address I License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N I <br /> Address I I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED J Y / N ' FEE CURREN J Y / N ' <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 /> `S p <br /> Pe det ske p legok) "e1(5 <br />