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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department / / <br /> Date Received Phone Contact for Permitting -- (� <br /> '[' gt`2D - 7 18 0 Q. 5 <br /> Owner's Name 6, y J - � �e.Y►r t l � U S��C � Owner Phon Number <br /> Owner's Address r l 1 Lg. vc !r ! bk t / 3 Cc-0- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS SQk V "Q--. LOT # C l <br /> SUBDIVISION ( 1.A1 (spg}` l✓t4\ OOU PARCEL ID# 1,5 - Z (9 - i - 0 [(00 — 0 --6 0O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT L SIGN n MOVE 1 DEMOLISH <br /> INSTALL REPAIR T <br /> PROPOSED USE ' 1 SFR 1 1 COMM OTHER 1 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL n OTHER 1 1 <br /> DESCRIPTION OF WORK h`2- ircjefr-- J kr Al 1`e- <br /> BUILDING SIZE SQ FOOTAG i3oo HEIGHT <br /> 1 1 BUILDING $ 3 GLAD f VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.0 <br /> 1 1 PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS . W1 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES nNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED [ Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N 1 <br /> Addres License # <br /> OTHER" .__, -- - -_.. \,\ / COMPANY 1 �1Oc kiq " l� <br /> SIG `. 1 `' REGISTERED 1 t N FEE CURRENT 1 Y/ N I <br /> Address 36 l 3 / s q . 01, I (f I q I License # CQC- (3ZS S 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 />