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813 - 780 -0020 City of Zephyrhills Permit Application (i '7 ( Q Fax -813- 780 -0021 , ft <br /> /� Building Department <br /> Date Received p (' Z V Phone Contact for Permitting • Bl (Q -- ' 2.. r <br /> Owner's Name Ave e S Smini••■ Owner Phone Number IMPERMIIII <br /> Owner's Address 14 Lintt Sk • (w ibr Iil v 1 `I� t LJD Owner Phone Number <br /> Fee Simple Titleholder Name ��� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 1Q `� `V\edm Cnt A\ Zephyrhills, R, 35340 LOT # I D <br /> SUBDIVISION Alpha 1 illay, , PARCEL ID# 3s-25- 2-1 bUSD • t • b330 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , CONSTR ADD /ALT 1 SIGN I I MOVE 1 DEMOLISH <br /> ' / INSTALL REPAIR <br /> PROPOSED USE I ,— � , / SFR I COMM n OTHER <br /> TYPE OF CONSTRUCTION n BLOCK I I FRAME 1 I STEEL 1 1 OTHER <br /> DESCRIPTION OF WORK QQt ` 01'51, (iv, ati <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 1I _lh ') L S VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ '7J AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.0 <br /> l 1 PLUMBING $ PAqC° Q <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING ( 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES 1 1NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURRENT 1 Y / N 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N <br /> Address ' / 0 License # <br /> OTHER /_____1. * COMPANY <br /> SIGNATURE REGISTERED I Y/ N 4 FEE CURRENT 1 Y / N 1 <br /> Address I !-tt �b � N Upo t va-i FL ,?_1(4 License # r7.511 q r X(o <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 />