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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Lei <br /> / Building Department 7:17 / C/ 'I"' <br /> Date Received / ' 3 U "/ Phone Contact for Permitting 1 l (�0 3 3 X l V <br /> � 13`�77q aq 1 <br /> Owner's Name , (j I � � � � I �'� � � �� O wner Phone Number $ — 70 <br /> Owner's Address Q � CI) %$+T ± Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 51 Act Beech S Wf e - LOT # <br /> SUBDIVISION PARCELID #I PI 240400 66 /Coo oo/ (Y)SAD <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 111 NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR r COMM I OTHER 1 <br /> TYPE OF CONSTRUCTION Q ` BLOCK /// Q STEEL Q OTHER I <br /> DESCRIPTION OF WORK IRSh( U saw' ' yyy�.���� (s -o 1s `r healer <br /> BUILDING SIZE SQ FOOTAGE 1 HEIGHT <br /> BUILDING $ (/ �n • O R 7 00 VALUATION OF TOTAL CONSTRUCTION <br /> ME ELECTRICAL $ S V AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> n PLUMBING $ r � � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C(/' a jvc <br /> I GAS n ROOFING n SPECIALTY n OTHER g`y\` <br /> FINISHED FLOOR ELEVATIONS 7 9 D ZONE AREA YES nNO "JJ <br /> t.. <br /> BUILDER a d M / /\ t � ( / r ' COMPANY <br /> SIGNATURE ��d �IC�I c I Q/Y a <br /> V 1 REGISTERED I Y/ N I FEE CURRENT I Y/ r 1 <br /> Address 15733. m t ter t oko CtY Liu) .3-3 . License # I el 5te ( 0 (J <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I 1 License # <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, Stornwater 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 /> .....o. .. .._......_.._......._.. .... .. .._.._...__..._..._.._... .. .. ..._......_.._...m. _mom..,_..._... ...., . _ _ . __ ..............._...c <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />