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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 -- <br /> IIIIIIIIII I tII <br /> Owner's Nathe ljG.: / % 4/ • — J A✓U:/ Owner Phone Number / /�- i <br /> s <br /> ( 93� er <br /> Owner's /Agfdress 3? 2 Q ti /9,,Cr, * De- 2 3 7 Owner Phone Number <br /> j <br /> r <br /> Fee SimizIt: Titleholder Name Owner Phone Number <br /> Fee Simple"Fitleholder Address <br /> JOB ADDRESS ". Ft% 7. Ot ial KEIZ, 7/ DC- .7 LOT # /20 <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 4...,,r SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I _ OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I— 'I STEEL 11 OTHER I I <br /> DESCRIPTION OF WORK 9 a /C .G .' X Ye) . 4.744 . A g 7 /714 4J fz Se Zr <' �aa,M £ 5Nc A - 'P' <br /> BUILDING SIZE / 0 . G A /O SC1 FOOTAGE -/ <br /> V HEIGHT <br /> n v ' l BUILDING $ ; ?G O ��' VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 1 W.R.E.C. <br /> ^/Pl <br /> I I PLUMBING $ <br /> MA (9 1-_ - 61'‘ i 9)(z) ' <br /> I 1 MECHANICAL $ A / / 4 VALUATION OF MECHANICAL INSTALLATION e fir / <br /> I I GAS I I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES T4NO <br /> /� i / 7/ i <br /> BUILDER 4 /04. G (4.,i, c� g <br /> /Z-. ` COMPANY' �I • ./// — <br /> SIGNATURE � 1 V I J l 1 REGISTERED 1 Y/ N I , E CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I 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 I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I Y/ N 1 <br /> Address License # F <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 />