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813 - 780 -0020 City of Zephyrhills Permit Application4 ( Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting J ) 396) -- Z -� o,. <br /> Owner's Name �v { CSC Y> V t UV) a rd Owner Phone Number 3 `T ��' L_U L{ ✓-,— <br /> Owner's Address F-,q � (eAbZ( � Loo Q Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address + 1 \ <br /> JOB ADDRESS 3 �i 4 c� TAG 1D; C ( '322 ,P �y� LOT # <br /> SUBDIVISION PARCEL ID# it.) - 7 2 -c) t 2c - coctO ` ZZo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN l I MOVE 1 I DEMOLISH <br /> ?Q INSTALL REPAIR <br /> PROPOSED USE n SFR 1 1 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME I I STEEL I 1 OTHER I <br /> DESCRIPTION OF WORK ) Q ci CR - Vim , iYA.0 c 7 S S •Z-e - o ? <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> l BUILDING $ •2 0 �� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> l PLUMBING $ C\ ke ✓ 61 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION O <br /> l GAS I I ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I 1NO <br /> f <br /> BUILDER 1 • � COMPANY �' tVl i v� �'Sr �� nSt Ap SIGNATURE k � � � 1 ( �� - REGISTERED I Y/ N I FEE CURRENT 1 " Y / N <br /> Address License # l ` I 9 %L] <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 I FEE CURRENT I Y / N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N I <br /> Address 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 />