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813 - 780 -0020 City of Zephyrhills Permit Application I / Fax- 813 -780 -0021 <br /> Building Department 6 7 b W 3 <br /> Date Recdived • Phone Co' tact for Permitting a3 3/x -- d6 .2r <br /> Owner's Name TA �� r v, Q } C. 4r- • f t Owner Phone Number x /,2.3 - 3/0 2 " U Ceti <br /> p �/ <br /> Owner's Address 3q1 0 CAI r- or � `^-5' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehhtder.Add_ress -.- L ` <br /> JOB ADDRESS 3 q 0 a `- f )',a v-• a r (.� et— .'e.-- LOT # )7 <br /> SUBDIVISION t 7 t,)' G O /9 PARCELID #I 2 I �- 2kP - -0 1 6 0 - Ob1Do 'OUv <br /> Cy (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I I SIGN =I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I I COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK rt., 11-4 1 k S L.a <br /> BUILDING SIZE g X i5 SQ FOOTAGE C i f HEIGHT 7 <br /> zlaxi <br /> BUILDING $ SSOO d= VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I 1 W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I I YES I INC) <br /> n V <br /> BUILDER 7 1- __ ��e\ C RENT SIGNATURE REGISTERED L Y/ N I FEE CURRENT 1 YIN 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <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 I FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 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, 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 />