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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 /> Owner's Name � /11 5 (.fx /t. ( /fi iyt� rwnerphone Number 710- o` / <br /> Owner's Address 20 , /9k St /' 63 al- tS fr- Owner Phone Number <br /> Fee Simple Titleholder Name e/rdloh, F - Owner Phone Number <br /> 3 311 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,Z o /4r lc 57 LOT# <br /> SUBDIVISION PARCEL ID# 02,— Z f1 0 20- C23 00 /6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL "74 REPAIR <br /> PROPOSED USE SFR 1 1 COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I / p I BLOCK t I ( FRAME n STEEL 1 1 OTHER <br /> DESCRIPTION OF WORK L42 Gfid- d e �C /�° C f self , C t ( m Sc c I(1 / ,,e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> M ELECTRICAL $ / Sd d r✓ AMP SERVICE / L7 I 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 1 1NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> LigCTRICIAN COMPANY l7 ) ;V 6 <br /> SIGNATURE to-14/74.d, Ado REGISTERED I Y / N FEE CURRENT 1 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 I FEE CURRENT I Y/ N 1 <br /> Address License # I <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 wl 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 />