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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> Date Received / f ' °F Phone Contact for Permitting -- <br /> Owner's Name - f G ' C. ( 1 '� v. r Owner Phone Number <br /> I j . 3C J,., 1 L L. I"- Owner Phone Number 1 <br /> Owner's Address < <br /> Fee Simple Titleholder Namel Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS I, (06 3 a J ,J '', ` �' C 1 LOT # I <br /> PARCEL ID #1 bZ L( -- 24-02_10 "--x0000 0 <br /> SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR l I ADD /ALT ( I SIGN 0 MOVE 1 1 DEMOLISH <br /> ( INSTALL I REPAIR <br /> PROPOSED USE ( <br /> SFR 1 1 COMM I I OTHER 1 I <br /> ( STEEL I <br /> TYPE OF CONSTRUCTION I I BLOCK r/ 1 1 FRAME 1 1 OTHER , J <br /> DESCRIPTION OF WORK A.VvI�T c7� C -C9 L ct .3 v `` y 6 ,(r / / I v` "' �'y I f K'� <br /> BUILDING SIZE SQ FOOTAGE L S I HEIGHT <br /> I BUILDING $ S �- , 0 0 VALUATION OF TOTAL CONSTRUCTION <br /> ( ELECTRICAL $ <br /> J AMP SERVICE 1 ( PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING 1 I SPECIALTY I I OTHER <br /> - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> BUILDER COMPANY I I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # I I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 1 License # I _ I <br /> OTHER ,q _ <br /> COMPANY S G (► QI k w.Q A 17"; r-i� —I it C' <br /> SIGNATURE � ! 0,c e — v REGISTERED I Y / N 1 FEE CURRENT I Y / N I <br /> ` ' 1 <br /> Address po R c, k /I rr .f4 h 14 h i, P / 33C 7 L, License # I Cc( v J �" 5 s 7 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, 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />