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813 - 780-)020 City of Zephyrhills Permit Application - 4 . "(�1 r 1 (`� Fax - 813- 780-0021 <br /> Building Department Cr ` I (� <br /> Date Received Phone Contact for Permitting .1,--_ <br /> Owner's Name 0 � h ! Y) Q-t ? x 1 , /1 j 1 Owner Phone Number I <br /> Owner's Ad ) Q y 7 + b 1 S / 1`x 2pjt,y rhr)15 er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address t,►.� y ,, ,� + k F L �,,} <br /> JOB ADDRESS -1 ri ) )4!b . 1 • -p 2 / YI kt-H r h r / I) s , L ` 3 5 1 LOT # <br /> SUBDIVISION /Y1 do r .eS PARCEL ID# fr " t � ( f o 'pct - MM ID - 003O - G IVO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED yi . NEW C ONSTR ADD /ALT n SIGN I MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR r COMM n OTHER I I <br /> TYPE OF CONSTRUCTION I BLOCK r-7 l] !� <br /> FRAME II—I STEEL r7 OTHER I (� I <br /> DESCRIPTION OF WORK Re r()t% /a ` a Q' )-k p LS t( ( L1- R <br /> BUILDING SIZE SQ FOOTAGE 1 4 HEIGHT <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> F ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY ni W.R.E.C. <br /> rT PLUMBING $ I f"c� �{I��' 1 <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 w- Z ^' �! VV <br /> F GAS 1 ROOFING r SPECIALTY r i OTHER i . I t • <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES EINO F�1 bi /iri��(� <br /> BUILDER COMPANY I f �/ � )('G C <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I t <br /> Address 1 License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I i <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED <br /> I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I <br /> 74/ 1 License # I n / OTHER COMPANY AIY en i .yl Croks51 Q f y Pn {" SIGNATURE REGISTERED I Y/ N I . FEE CURRENT I Y/ N �� <br /> Address i 1 )W fl J Y T illJ (L4 J License # 1(14( ./ 3 a 3 3 I <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, Stornwater 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, Stor mweter 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 W on public roadways..needs ROW <br />