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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department frqet <br /> Date Received q- 25_0 Phone Contact for Permitting (2 3 / 3 7S' 3 -- S� <br /> Owner's Name f ° y AND 1 ) 1 1 R RS 1 ( Owner Phone Number � r / �.:1 3 - 57D • <br /> Owner's Address 50 c26 ' 1 - 71k s77 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 1 -7- { -1 ' S- LOT # <br /> SUBDIVISION PARCEL ID# 1 L`"'a oZ/Q —oVSd° ago J6)6-( <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n S IGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 1 I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME n STEEL I OTHER I I <br /> DESCRIPTION OF WORK � 21- V r j <br /> BUILDING SIZE c,2 x c9,1-/ SQ FOOTAGE °2 F J HEIGHT / c a r <br /> BUILDING $ � ) VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C, <br /> 1 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION A)d <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES nNO <br /> L M ' ■ l 'If�iQ 5 111Witt n ". <br /> BUILDER 'j !I ' �� � $ ` COMPANY a6 # - 0 <br /> L- �� 7 � <br /> SIGNATURE ��I� REGISTERED Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y N 1 <br /> Address License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y / N I FEE CURRENT 1 Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/ N 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 (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />