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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> (7f <br /> , t ' <br /> Date Received 2- Phone Contact for Permitting , �J 13 -- c2) �.____ _ <br /> Owner's Name A vnie a9,,I Owner Phone Number <br /> Owner's Address 73/2 /e A . CT Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 6 <br /> / / L LOT # l` 7 <br /> JOB ADDRESS 732 Ze r � - <br /> SUBDIVISION ot i'b 46 g i /qyr L. PARCEL ID# 3f - ,2J - 21 - aof4 - D. - / 70 <br /> ! r v (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED H NEW CONSTR I J ADD /ALT 1 I SIGN 1 1 MOVE I I DEMOLISH <br /> INSTALL I REPAIR <br /> PROPOSED USE l SFR I I COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME 1 1 STEEL I I OTHER I I <br /> DESCRIPTION OF WORK kJ ■ mot 0 w ref 1 d(re rA ' J*9 "1C 16 4. li f ) <br /> BUILDING SIZE SQ FOOTAGE ` HEIGHT <br /> BUILDING $ /325 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 I W.R.E.C. <br /> I I PLUMBING $ nr`� W Kri <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION .Q.61/4.-% P k ' <br /> ve, <br /> I I GAS 1 1 ROOFING I I SPECIALTY I i OTHER <br /> ie <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES I 'NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y/ N I <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 I FEE CURRENT I Y / N I <br /> Address <br /> 0 License # <br /> /f �' d , / <br /> � MPY (n / 1 /J (nJ�T <br /> OTHER SIGNATURE 'Av% C/ fe4r REG AN I �Y / N I FEE CURB T I Y / N I <br /> Address <br /> License # In C.C.. ( 3 I IS d 3 l <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 />