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813 -780 -0020 City of Zephyrhills Permit Application �J, Fax- 813-780 -0021 <br /> Building Department If v O v <br /> Date R; Phone Contact for Permitting -- <br /> • Owner's Name vV' t S i t /7 i - , r f O wner Phone Number :31Z- � 3 v <br /> Owner's Address ■5 11 (J - . Owner Phone Number <br /> Fee Simple Titleholder Name / 3t0 % Sr" rn S y Owner Phone Number <br /> 04,6 x¥ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Sam t LOT # <br /> SUBDIVISION PARCEL ID# /(--- -- 2 6.- 21-00/0-/ 32 00 -00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I <br /> 1 ADD/ALT SIGN n MOVE 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL 1 I OTHER I I <br /> q DESCRIPTION OF WORK e401 L/'1 <br /> 1_,,,,,,- , <br /> BUILDING SIZE -30 FOOTAGE /9 HEIGHT —/ <br /> I I BUILDING $ f,5 0. 00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> I ( PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 I SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I <br /> BUILDER COMPANY ACM U Ni(M i <d �✓1 e <br /> SIGNATURE ( / 'f S 2 /'I REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address sb 10 , LS-4- License # 1 r 7 ! . <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 # I <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 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. (NC 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />