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813-780 -0020 City of Zephyrhills Permit Application w (� Fax -813- 780 -0021 <br /> Building Department <br /> Date Received e ' ` Phone Contact for Permitting -- <br /> A P �' <br /> Owner's Name , / r K f'0p0►�� 142 LL-C.- Owner Phone Number <br /> � I I I <br /> Owner's Address 3U l sly S`T 2Q t L41 II Ic , Owner Phone Number f <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address (� (� ( J <br /> JOB ADDRESS (pl0k �tI I. Jk��" ' Z� `ty -� (i iS 3sS `7`� LOT# <br /> SUBDIVISION PARCEL ID# 03 .. t(C — t col O ` I1 a CC) . 0 I D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT n SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR R UO"F <br /> PROPOSED USE I I SFR rpl COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME n STEEL I I OTHER 1 <br /> DESCRIPTION OF WORK V f� - oCTR <br /> BUILDING SIZE SQ FOOTAGE 5 9 00 HEIGHT <br /> I 1 BUILDING $ 495 140e VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES =NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y 1 N I <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address 1 License # <br /> MECHANICAL OMPANY <br /> SIGNATURE - QGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> • <br /> Address S 1 License # <br /> OTHER COMPANY R\ Y'YGG&/ l 2 \ ()Of k v c <br /> SIGNATURE W,, A.A ` � REGISTERED Y/ N I FEE CURRENT `�I / N ( <br /> �,g <br /> / 2 <br /> Address = . �. I License # CCct JO� sSoS I <br /> w <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 />