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1313 -78U -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department Mg Date Received <br /> Phone Contact for Permittin! g – 4 _ i;,79. <br /> Owner's Name • y/d 5/I r i rf <br /> t° i" Owner Phone N�r i/ 78 -9736 11 <br /> Owner's Address 7' C 1-47459 1,2_ / 7.e.�,4 y � 1, 24' 33-4/2 Owner Phone Number <br /> Fee Titleholder e . Owner Phone Number <br /> Fe ple Titleholder Ad <br /> ess <br /> JOB ADDRESS 3 '7 t- ,is /n i91,e Ze, /y.^4i2ZS F ' 5 Y2 LOT# I /'/b I <br /> SUBDIVISION 5/e /dylit GL o:.. / -e , PARCEL ID# 0 2_ 4- "l 6 Z41,— Uptw-A <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR . ADD /ALT I 1 SIGN n 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE FT4 SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK fl FRAME I I STEEL r 1 I <br /> DESCRIPTION OF WORK /QE p 'a c e_ (//, ow -;. i'..1 r'e),' ,• i1 /f <br /> BUILDING SIZE /2. X 2Q SQ FOOTAGE HEIGHT <br /> I UILDING $ D - 4 �� <br /> 7'J 7 VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I W.R.E.C. <br /> I (PLUMBING $ <br /> I IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I1GAS I ROOFING I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS BLOOD ZONE AREA I IYES NO <br /> BUILDER ,, / / COMPANY 1, © 4 4 /f co r <br /> SIGNATURE :4 REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address <br /> 1 License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURREN I Y/ N I <br /> Address I 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1 <br /> Address I License # 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />