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• 813- 780 -0020 City of Zephyrhills Permit Application / '1 I <br /> Fax - 813- 78�21 <br /> // f� Building Department 4v -` P *Mt,' F <br /> Date Receiv `� �� V 3�y y r 3 3 <br /> T <br /> Ph one C on t act f or Permitt f i J I <br /> ' ' r_ // ,^/ <br /> Owner's Name SA ✓G 4- 1 -'° 'r / k f r Owner Phone Number .7/ L i' .: 4, l03 d <br /> Owners Address /00 ea/4/0 4 1-6 6/ 1-64-E 41-- Owner Phone Number <br /> Ea,wll 4 - -1fY,, M0 C. 3oy.5 <br /> Fee Simple Titleholder Name •11/1/ / e.fd A. fif'/ � / / I t c- Owner Phone Number <br /> Fee Simple Titleholder Address • - CD/43y0yAC.� FtJ 1�f/�"i I 1 i 6 At -it / At //�6v�� �..�od -- <br /> �GG / <br /> JOB ADDRESS 73 20 (s4 L1, /3L✓V Ze191 y,4-/61_ l j /1— LOT # <br /> SUBDIVISION PARCEL IO# �� „ 4. v0 /° U�rUO 626)6)41 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR _ ADD /ALT 1 <br /> SIGN n 0 DEMOLISH <br /> INSTALL _ REPAIR <br /> PROPOSED USE SFR COMM 1 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION 1 .„-r BLOCK I I FRAME 1 1 STEEL n . _ 1 <br /> DESCRIPTION OF WORK / tel /e.e6 t if A/ 601 C-(4 17; I./ <br /> BUILDING SIZE /''' <br /> SO FOOTAGE HEIGHT <br /> nBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE n PROGRESS ENERGY 1 W.R.E.C. <br /> 1 1PLUMBING $ i / / 0 <br /> o <br /> ) <br /> MECHANICAL $ //O PM). 7d VALUATION OF M F,FA AL INSTALLATION <br /> nGAS n ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO <br /> ' • 1 1 1 1 '.d 1 1 1 1 1 1 1 1 1 1 1 1 1•• 1•••• 1 1• <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I <br /> 1 Y/ N 1 F EE CURREI. 1 Y/ N <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ Ni <br /> ( 9 <br /> Address <br /> License # <br /> PLUMBER %COMPANY <br /> SIGNATURE �= REGISTERED 1 Y/ N 1 FEE CURREN` 1 Y/ N 1 <br /> Address n,limm License # <br /> MECHANICAL / �� COMPANY .7 fl ��iQr � f � I1� f �/Q r l 0 A/ /f/O/414i / �/Vt • <br /> SIGNATURE 11 ... _� . ` REGISTERED 1 Y / N 1 FEE CURREN 1 Y / N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address <br /> License # <br /> 1111111111111111111111111111111 1 111111111 11111111111111111111111111 <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 /> L' ' • 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 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways.. needs ROW <br />