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, 813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department J n <br /> Date Received Phone Contact for Permitting 3 -a 55 (_ -- ` I 1 <br /> Name , , / fl � 0 S ABM= Owner Phone Numbe .r . <br /> Owner's Address I 15 m / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �� <br /> JOB ADDRESS 3171'115 A -ko m A l"CjJ <br /> J LOT # <br /> SUBDIVISION Vtai►ld I San PARCEL ID# 34- 25-Al- 0o"I0 00000- 10.30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I 1 MOVE n DEMOLISH <br /> INSTALL REPAIR /� <br /> PROPOSED USE 1 1 SFR 1 1 COMM OTHER Ul P O <br /> TYPE OF CONSTRUCTION I I BLOCK 1 I FRAME 1 I STEEL n OTHER I I <br /> DESCRIPTION OF WORK W YV Wild" d" 3 /pL 'in <br /> BUILDING SIZE SQ FOOTAG HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.0 <br /> 1 PLUMBING $ <br /> [I MECHANICAL $ x ' 1 50. 00 VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS I 1 ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES [] NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT 1 Y/ N I <br /> Address 1 License # 1 I <br /> MECHANICAL ' fl, / 4 COMPANY `�tt�Y iS A/c CO <br /> SIGNATURE REGISTERED I Y / N . 1 FEE CURRENT , I Y / N <br /> Address 1 , 4 a V s 44 YV ' 3 1 License # 4CO d 5 l <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />