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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department 7/( Date Received -- i l l y <br /> 2 Z "' Pho ne Contact for Permitting <br /> Owner's Name A i \4 / - C S Owner Phone Number at 3 _ 35 " L( ( <br /> - Owner's Address S 1 Z .Z <br /> 5T2C --6 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 61 Z"Z- STece' ' LOT# l8 <br /> SUBDIVISION CtrY a(= Z.4,Pt- tVet -u S PARCEL ID# 1( -2(-40- 01 -06ID - OS ©('lam <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> -- WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I-1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ILI SFR I I COMM n OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK F.1 FRAME I 1 STEEL 11 OTHER I I <br /> I L (k. , 2 c €— ( F AC i"%t-ti� sj , . . - Acx�.y <br /> `"' DESCRIPTION OF WORK � PL4 � T3`'." <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 0 �1 " VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ T <br /> f " AMP SERVICE I I PROGRESS ENERGY n W.R.E.0 <br /> PLUMBING $ <br /> 1 ( MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I 1 ROOFING I 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES n No <br /> BUILDER _ '` '�'� = G[ � � � A C OMPANY �(�� " "� ‹.../‹._ SIGNATURE ! ` REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <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 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 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 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 />