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813- 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting S t 3 ` l - 6 <br /> . <br /> Owner's Name NUr, i t --5-- L- e r Owner Phone Number / J t;.2.- 6 4 31 C - <br /> Owner's Address 3 L b 1 I`" q C/Q,, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 qvi v /� l ue_ LOT # ((\-( a_ <br /> SUBDIVISION PARCEL ID# it --2- - -- 1O -owo0 -- 0/10 <br /> (OBTAINE FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT S <br /> INSTALL REPAIR � I 1 MOVE 1 I DEMOLISH <br /> -rip <br /> PROPOSED USE 1 SFR 1 I COMM I 1 OTHER <br /> TYPE OF CONSTRUCTION ( I BLOCK 1 1 FRAME I 1 STEEL 1 1 OTHER 1 <br /> DESCRIPTION OF WORK 2 ] (2--roc 60 O u S Q LA)/ 5'1 t vi c,pa5 <br /> BUILDING SIZE SQ FOOTAGEO HEIGHT <br /> BUILDING $ 5 3 ' Q l VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.0 <br /> I PLUMBING $ <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS M ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES El NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y 1 N I <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # T I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> \ess 1 i 4 11 License # <br /> OTHER ` 1A. COMPANY 1` )(Q & 7 <br /> SIGNATURE \ , a � REGISTERED 1 Y / N FEE CURRE I Y / N I <br /> Address • l3 S .4 �� 3 License # 15C (3a.S <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 fetter 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 />