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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> Budding Department <br /> Date Received Phone Contact for Permitting -- <br /> IItItIIIIIIIIIILLL1 ii <br /> Owner's Name cle C 70-M €t Owner Phone Number O 13 - ' L1 1 <br /> Owner's Address &'-i,' - . Ze rk I `{`` IS, j-1 335(12 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address `` <br /> JOB ADDRESS 3ak 1 Z l lks F 133` 1 Lo 11 <br /> SUBDIVISION PARCEL ID# 1 1 - - A , - opt NOD o-- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW <br /> REPAIR <br /> /AL n SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL <br /> PROPOSED USE I I SFR I 1 COMM ,15ZI OTHER I 51.1ro -SIB re' 1(1)0+ <br /> TYPE OF CONSTRUCTION I 1 BLOCK I� 1 1 FRAME 1 I STEEL I OTHER' C1501014 S 6vytsj - 1 <br /> DESCRIPTION OF WORK T d—r o! r O IC roof Al )1( Li,) l ICs <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ L, , 5 C , Co VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 1 PLUMBING f i. l 1 <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 1 1 ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 0 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> r <br /> OTHER COMPANY � `3 c' 046_, .- 0.- <br /> SIGNATURE % REGISTERED 1( Yj N I FEE CURRENT 1 (Y.1 N 1 <br /> Address (Ti, Rsoci g LLB- 352' 1 Sa (br t' 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-0-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 />