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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 813 782 -- 0 q 20 <br /> • <br /> Owner's Name e a • gi t Owner Phone Number . 82 214 • <br /> Owner's Address L R 0• Bo)c 5252 L. A [ LAN 1 I Owner Phone Number <br /> Fee Simple Titleholder Name 1 Owner Phone Number <br /> Fee Simple Titleholder Address Eve JOB ADDRESS 1 15 Eve 2 G a ee•J L• G S D Q LOT # <br /> SUBDIVISION PARCEL ID# O Z Z(Z1 0010 O 5300 OO 20 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ( 1 SFR 1 1 COMM 1 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL 1 1 OTHER I 1 <br /> DESCRIPTION OF WORK RE- ROOF'"{ //)ils N1tti.Ti —'r�cY,�l�f <br /> BUILDING SIZE SQ FOOTAGE lt® '--)G� f e.S HEIGHT <br /> ■ ` 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ qv <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 YES nNO <br /> BUILD COMPANY (�u- SG hap !C Co,ns+�wct <br /> SIGNATURE • REGISTERED dNIP N FEE CURRENT I Y / N <br /> Address License # C C C o 5813q <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT � Y/ N <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) 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 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 lomeone 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 />