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813 - 780 -0020 City of Zephyrhills Permit Application 401V Fax -813- 780 -0021 <br /> Building Department 0 <br /> Date Received <br /> l 3 78ci -- Sy <br /> Phone Contact for Permitting S Owner's Name F A T t ;- c. Z ? c,A t..) OA Ld/u &.s (Keel Owner Phone Number f 3 ( ? 3° 7/ <br /> 7 <br /> Owner's Address 6-- 1 7 4 3 l / - tii s---r <br /> ! • Owner Phone Number p 15 •" oZ/ (` ' ` S <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> s s `- ! , <br /> JOB ADDRESS v / 3 / <7 � S - r LOT # <br /> SUBDIVISION PARCEL ID# <br /> It 1Z(-1e1o/+o-4"7:47441dit' o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE 1 1 DEMOLISH <br /> ,' INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK INS l '4 1-4' S H -' L) <br /> BUILDING SIZE I 02 X 302 SQ FOOTAGE .3z- HEIGHT � 0 ,g /T <br /> ® BUILDING $ c <br /> l '7�11� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> / 1 ll � <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L A <br /> 1 1 GAS 1 I ROOFING I I SPECIALTY 1 1 OTHER , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> BUILDER 41,74%, _ . R W <br /> COMPANY A C� �� 4 i e$ <br /> i <br /> SIGNATURE Al i <br /> REGISTERED l Y/ N I FEE CURRENT l Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N I <br /> Address License # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N I <br /> Address License # F <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 />