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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Departmen <br /> Date Received Phone Contact for Permitting 71� ° -- V 7( <br /> Owner's Name Ke U U I S l UJI , Owner Phone Number e 3 - tog "iii <br /> Owner's Address ' ( 45 forheS Pd. Owner Phone Number Ig ) - 3 - 1 7 [ 1D <br /> Fee Simple Titleholder Name Owner Phone Number g 13-7 g -7(77 7 <br /> Fee Simple Titleholder Address 1 / <br /> JOB ADDRESS t530/ D/ / /T// J j", u 4 )`JS FL 3354A LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK (` 1 1 FRAME � 1) STEEL � 1 l , 1 OTHER <br /> eaJ �on 'i <br /> DESCRIPTION OF WORK i n 1 e4 ove "e /� � s—ii s� /Ur !e roo-P• <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ..1/1 BUILDING $ 340 TS , 0 0 VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ d AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `S V <br /> 1 1 GAS jZir ROOFING 1 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 (NO <br /> 6 <br /> BUILDER - COMPANY & /??ff — /t) /A" , <br /> SIGNATURE • '�'}►�$ REGISTERED / FEE CURRENT Y / N <br /> Address U License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N ] FEE CURRENT 1 Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N FEE CURRENT I Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N 1 FEE CURRENT I Y/ N1 <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br /> R , <br />