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813- 780 -0020 (JI 5 ° ax- 813 - 780 -0021 <br /> City of Zephyrhills Permit Application �. l <br /> Building Department <br /> Date Received �JJ _ (-NO <br /> Phone Contact for Permitting LIU <br /> Owner's Name &I bre I / Owner Phone Number 3 - 7g3 7 0 <br /> Owner's Address 54 4S� S >4 , /-4 4.51 Owner Phone Number 78 3 710gesz <br /> Fee Simple Titleholder Name 1) / Owner Phone Number - <br /> Fee Simple Titleholder Address 1� _ / ! //4 <br /> �, /mil <br /> JOB ADDRESS 5`Y7 � iSf SWL Zohr, rh /J4 k- � /vim' LOT # <br /> SUBDIVISION PARCEL ID# 7 1 .(L AOVO_ o X_ 1621 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> h INSTALL REPAIR <br /> PROPOSED USE n SFR I I COMM n OTHER I <br /> TYPE OF CONSTRUCTION n � BBLOC L K I FRAME / � n STEEL n OTHER I <br /> DESCRIPTION OF WORK T` /J - : - aalo`�{� Zr Otk 1 G. .g • 5 - <br /> BUILDING SIZE SQ FOOTAGE g (e.._ HEIGHT <br /> I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ CIL) MECHANICAL $ . VALUATION OF MECHANICAL INSTALLATION <br /> I GAS n ROOFING 11 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES n N0 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I YIN I <br /> Address License # <br /> MECHANICAL COMPANY F 4k_ <br /> SIGNATURE •C 73r/l�i ._...- REGISTERED 1 / N I FEE CURRENT <br /> Address ! /!1L 1,), play k �, T 7 l 3 Lo License # �41'I <br /> f) 7 y OTHER / COMPANY <br /> SIGNATURE REGISTERED <br /> 1 Y/ N I FEE CURRENT 1 Yin] I <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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />