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813 - 780 -0020 City of Zephyrhills Permit Application ,- (, 09 Fax - 813 - 780 -0021 <br /> Building Department `1 Y <br /> Date Received Phone Contact for Permitting p <br /> ItIIIIIIIIIIIIt � <br /> Owner's Name ra G . t / • 1Q(41Qi Owner Phone Number 7 � s �� ) <br /> Owner's Address 35 Loworbowod_ Vh III !'1 rk-A _- Owner Phone Number <br /> I bait 6ciuvlei 6-A 3o Ib'7 Owner Phone Number <br /> Fee Simple Titleholder Address L �( <br /> JOB ADDRESS (6 it* ph- Y J 1 T 2 `{ l i L 'S 3 3 :- �-{ a. LOT # SD <br /> SUBDIVISION ,) .kiQV ®dKS f PARCELID# L © 3 — p(L) — ) - t ‘frp - " — O 5 V) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED III NEW CONSTR ADD /ALT 1 1 SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION 1 I BLOCK I 1 FRAME 1 1 STEEL 1 1 OTHER 1 1 <br /> V I DESCRIPTION OF WORK l Q — Y O O f \ W ! sh i i iQS <br /> BUILDING SIZE SQ FOOTAGE 3 HEIGHT <br /> BUILDING $ cp/ C5� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ O ((QQ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C <br /> PLUMBING $ <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ENO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L Y/ N I FEE CURRENT l Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT l Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT l Y/ N 1 <br /> Address ( License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OT SIGN i .� COMPANY �{ � 00A <br /> � <br /> op( Y/ N 1 FEECURRE / N 1 <br /> Address 1)(c1-1I 5 j S -I and S License # 1 C. c [ 3a ss'oS'-- <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 />