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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780-0021 �. �/ / ^\ <br /> Building Department <br /> Date Received ° ? <br /> Phone Contact for Permittin! g 7- <br /> Owner's Name CIA 1 F Q V 1 4 . 's t r Owner Phone Number / 8 ( <br /> ) 't 4 <br /> Owner's Address ' 4 ✓C- Owner Phone Number I l \ 9 (3) 7 1 3 - 3 1 3( <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address (� A g A l <br /> JOB ADDRESS 3 S 4 pvG' ZC,( '1{L44 / z-i5 C d �ls LOT # I 11 <br /> SUBDIVISION i S J tJ ti ( e ' ! C$ PARCEL ID# )4' - 011 i O- C G v CC) - G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL �j7 REPAIR <br /> PROPOSED USE Q SFR I I COMM I= OTHER I <br /> TYPE OF CONSTRUCTION I BLOCK I FRAME I STEEL I OTHER I <br /> DESCRIPTION OF WORK 1 (LCD L I 1 t '" � � �) 3 t ter et) n S t Z: <br /> BUILDING SIZE I SO FOOTAGE HEIGHT I <br /> I /v BUILDING ($ 1 3 ( VALUATION OF TOTAL CONSTRUCTION <br /> = ELECTRICAL I$ X 7 ) AMP SERVICE r PROGRESS ENERGY I W.R. E.C. <br /> I PLUMBING $ <br /> = MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I� GAS n ROOFING I] SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I =NO <br /> II' <br /> _ t'I i11a, <br /> BUILDER ` { �1 L I COMPANY ( W �d W 9 O q, <br /> SIGNATURE REGISTERED Y/ N I FEE CURRENT I YIN I <br /> Address I License # I C6( - a 75-1 (e) I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address 1 License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License # I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; 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 /> - <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 Attomey (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 />