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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> Date Received - r� Phone Contact for Permitting g -3 / -- _ • _ <br /> Owner's Name //� r I� Owner Phone Number 5,13-71% - - 7; <br /> Owner's Address 38 0 lauipiai Owner Phone Number $13 7/ 3 - l0 /6 <br /> Fee Simple Titleholder Name" Owner Phone Number <br /> Fee Simple Titleholder Address /� r / <br /> JOB ADDRESS �t wit Kf2 � �7 / S/ 5'06 / LOT # <br /> SUBDIVISION PARCEL ID #13 2 6 — j 6/46 <br /> (OBTAINED FROM PROPERTY TOTICE) <br /> WORK PROPOSED Fr NEW CONSTR ADD /ALT I 1 SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM I-1 OTHER I <br /> TYPE OF CONSTRUCTION l BLOCK I I FRAME [1 STEEL n OTHER I <br /> DESCRIPTION OF WORK 41- r , , 'Ai: '-�� ) ' 2 TL‘)a <br /> BUILDING SIZE (Q )(/ Z Q FOOTAGE U A/ - HEIGHT 7 9 c <br /> • D2T BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ � AMP SERVICE [17 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ _— VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nNo <br /> BUILDER (,) COMPANY <br /> SIGNATURE REG ISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 : 303 /-11 Lic nse # I C' <br /> I <br /> ELECTRICIAN !`— COMPANY Pa <br /> SIGNATURE e , REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address k2'-17 7 $( 13 D . C 1 i s - J j 9 9 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 1 License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <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 $5000) <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 Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />