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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department - <br /> Date Received S2- -- <br /> Owner's Name Pas GD lAu...`y eO IJ'eVGICPnte a+ Owner Phone Number SW - Sal 5 71 2X 395S <br /> Owner's Address I 7A A 0 O, j NPieiday <br /> 2J 3. � Owner Phone Number 3/..5 3 W £4 3it 77 <br /> - <br /> Fee Simple Titleholder Name Owner Phone Number ?7 Y3r/- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,3$ 'Q2 4' 7 e t ,rhl //S Y7 3355/g LOT # <br /> SUBDIVISION PARCEL ID# // 440,94 YO /7,7oo 0/9/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I I MOVE j DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I I COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK I ><I FRAME I I STEEL I I OTHER I <br /> ��DESCRIPTION OF WO P,"_ <br /> BUILDING SIZE SQ FOOTAGE /,A HEIGHT <br /> C BUILDING $ � 6 7 C� / VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ / AMP SERVICE PROGROS ENERGY I W.R.E.C. <br /> I I PLUMBING $ 7 <br /> 3 <br /> I I MECHANICAL $ VALUATION OF MECHANICAL I ALLATIO <br /> I I GAS I I ROOFING 1 1 SPECIALTY F OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES =NO <br /> l a <br /> BUILDER COMPANY g4757i <br /> SIGNATURE REGISTERED r Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y / N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 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. (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 />