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813-780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received q - -- <br /> 3-- / Phone Contact for Permitting ------- <br /> IIIIIIIIIIIIItl <br /> Owner's Name f l iJ y 1 C - Q(..„ •-- Ccaty?hi• Owner Phone Number <br /> Owner's Address .. 1 l N SA 3 -i- Kl c [4. --rN Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J) 3 q Prajc T" f� <br /> )CCC -'Qi z.- / a <br /> t i ( - 5 - 5 s-q)^ LOT # <br /> SUBDIVISION Z y r K i jo.--- PARCEL ID# 03 -" 6 – 0 L O O – 0 G (00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT SIGN I MOVE I—) DEMOLISH <br /> INSTALL REPAIR (° cif <br /> PROPOSED USE I I SFR I I COMM I OTHER I I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME ( STEEL n OTHER I I <br /> DESCRIPTION OF WORK 9 2 — Y - Oc00 - .i 4 <br /> BUILDING SIZE SQ FOOTAGE 1 1 OO HEIGHT <br /> I I BUILDING $ I b An '''22- CVALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRES NERGY I 1 .R.E.C, <br /> PLUMBING $ q a 4 <br /> I ' <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1I ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I—IYES r lNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT 1 Y/ N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address , License # <br /> OTHER COMPANY R v10 ( back ►rlC <br /> SIGNATURE / t REGISTERED 1 / N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 364 3 3 SLf Z h (-L- l u S 5 s -(I 1 License # CC. C t3 SSO5 <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />