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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department „/ �/ i <br /> Date Received , Z 7 /2-5- t y (T/�VM f <br /> Phone Contact for Permitting ` q 1 _ <br /> 1 1 1 1 1 <br /> Owner's Name L of / ) it S (� Owner Phone Number t�. • / LCv L 71 <br /> Owner's Address 3 CT O CI k k t n t£ k Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I,,t� ^i� n <br /> JOB ADDRESS 380 _4 1 , v L�� O. LOT # <br /> SUBDIVISION W � �srelL m r ��/�� cEL ID# 1 4 1 - o00o -- oc000 - 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Ir. ADD /ALT SIGN n I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 3g1 COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK 11 FRAME 1 1 STEEL n 1 <br /> DESCRIPTION OF WORK R ,e (loop o ir& ,r -t /45 ✓) 41-H Q ,1'1/?,,t1€ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> UILDING $ r1 0C'rov VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ •L ` 1/ AMP SERVICE 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> • <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I IGAS 11 ROOFING n SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOODJ.p[JE AREA [ NO <br /> 11111'11 "' 1' 111 111111111111111011 111 " 1 11111/11 ( 1 � 1111'( '' 1111111 w 1 7 11111 <br /> OMPANY s t °R <br /> BUILDER r � r sokt l iop <br /> SIGNATURE p REGISTERED � 1 FEE CURREN I Y / N 1 <br /> Address License# f^, ( c .. 5z 6-7/ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ Ni 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN 1 Y/ N I <br /> Address License # <br /> IIIIIIIIII1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <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: 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 (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways.. needs ROW <br />