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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department n f .� q - S <br /> q� <br /> Date Received ,r — 3 -0q Phone Contact for Permitting _ a .5 . • / <br /> Owner's Nathe Yk> nQ 1( \V V. J27(U'1Qrky Owner Phone Number • 1 3 c (Q�`1 <br /> Owner's Address 5, � t �Q,Y\iNe Y 5-A- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS 53 ' 1 -ar 1 \' e_r SA- LOT # 57 <br /> SUBDIVISION 1 1 nv QI IA NR.1 G PARCEL ID# Ia)ap a` A 01 ) V5 o <br /> (OI TAIRA) FROM PR PERTY TAX OTICE) <br /> J <br /> WORK PROPOSED NEW CONSTR [ ADD /ALT 1 SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM I 1 OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK _ 1 1 FRAME 1 STEEL 1 I }— OTHER <br /> DESCRIPTION OF WORK l 'a A ZXJ �— '\ ( 'Ck.v cf � x - —1 1_11 <br /> BUILDING SIZE SQ FOOTAGE d _ HEIGHT <br /> I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ 4 , DD 00 <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 I GAS 1 1 ROOFING 1 1 SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 ENO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address (-- License # <br /> 1 <br /> PLUMBER COMPANY (A Ur I Lwvkb,, : 2-1......C_../ 2-1......C_../ SIGNATURE /J � _11 �` REGISTERED FEE CURRENT I Y / N 1 <br /> Address oO50 kek(t_ 1 License# 't-tr f <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # 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 />