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813 - 780 -0020 City of Zephyrhills Permit Application t �fy ,., �y Fax- 813- 780 -0021 <br /> Building Department a . i ()it'll Cr <br /> ✓ i / 00 L �/ <br /> Date Received ■ 6 — D /Z) Phone Contact for Permitting = /r 1 -- v O <br /> Ownes Name ,sT #er 4,7,w/`�(�/L Owner Phone Number 6/ 7 f9 <br /> `.� <br /> r' ,. <br /> Owner's Address 3 97" IV F D 14430, Ge4 2 Owner Phone Number [ <br /> Fee Simple Titleholder Name Owner Phone Number [ <br /> r , <br /> Fee Simple Titleholder Address,„,--' �S 77 / , J/ <br /> JOB ADDRESS 99 7 /72 'e6 Givaal �-al� ' /1 ///J 3] LOT # <br /> SUBDIVISION '77,,,cde /. / PARCEL ID# ✓ /J 24 a/-‘,/ /O -od v " ,,/„ve <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I I STEEL 1 1 OTHER I <br /> DESCRIPTION OF WORK V a\f)V e— 1 b t)) D �?( i ^S1 i ` oc i C k `i / t^' Y4 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> WV BUILDING $ � .,6 VALUATION OF TOTAL CONSTRUCTION <br /> `"` f(�I pOO. 00 <br /> ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.0 <br /> 1 1 / / Q . <br /> I 1 PLUMBING $ v <br /> l —. <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES 1 INO <br /> ± 4 41 <br /> BUILDER i ( COMPANY /t /r /. /,/ �� /.` <br /> . , <br /> SIGNATURE S, `_ / � /L ' REGISTERED WIMP- • E �:�,' NT Y / N <br /> Address License # <br /> � <br /> ELECTRICIAN j j ` COMPANY �o l33L iy /=� � ill /(- SIGNATURE / `� REGISTERED Y / N I FEE CURRENT Y / N <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 # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I 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 />