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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting -- <br /> Owner's Name ! le, VI, ti Owner Phone Number <br /> Owner's Address 37 (P r 9 /Y €4.k(, (V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �7 / A T <br /> JOB ADDRESS 3 / o (9 ' `� / 'eu / I y7 4e n LOT # �5° <br /> SUBDIVISION PARCEL ID# 3- ZS'Z /- 0690 - 6W22 - /,r`D d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Ed NEW CONSTR ADD /ALT I 1 SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 Ju SFR I 1 COMM 1 I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL / I — I OTHER I 1 <br /> DESCRIPTION OF WORK 3 70)-1 74,07,7e , A/c c`r'- 5 e u 7 -- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ '3 2-37 2e VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS I I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N 1 <br /> Address I 1 License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> CHANICAL , COMPANY <br /> SIGNATURE f^^ `. A REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N _I FEE CURRENT 1 Y / N 1 <br /> Address 1 License # P <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 />