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813 -780 -0020 City of Zephyrhills Permit Application <br /> .4 Fax-813-780-0021 <br /> Building Department <br /> ryi <br /> Date Received — /6 Phone Contact for Permitting -- <br /> V. `� R' + Owner Phone Number J" � 6 g�3,- V <br /> Owner's Name A, _ ` � <br /> Owner's Address I'Y V/ ' /D, I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> '' JJ •335 ) LOT # <br /> JOB ADDRESS ' �� 1 , L <br /> SUBDIVISION 1 P ' ' t t r 0 I d � "G ), ✓ ) + ~V PARCELID# L —z i( - O 2 — 66°18 --b2 ? <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED W NEW CONSTR I I ADD /ALT I 1 SIGN 1 1 MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE y SFR 1 1 COMM 1 ( OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER I / ,� 6 ' Z <br /> ....yyllyyf ,�t .1j' / q)( 2� '0 ileac zC K 2/ ye9l <br /> DESCRIPTION OF WORK ?/� �L4 1J �(� / �t 6 I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I BUILDING $ •2 O O .0f D �Z� VALUATION OF TOTAL CONSTRUCTION <br /> J <br /> ELECTRICAL $ AMP SERVICE ( 1 PROGRESS ENERGY n W.R.E.0 <br /> PLUMBING $ <br /> -te <br /> /� dY <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES El <br /> ■11111111% <br /> C ? R r COMPANY <br /> • IGNATURE _ � pp/ -"'" ' REGISTERED Y / N FEE CURRENT Y / N <br /> I Address License # I <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 # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address 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 />