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813 - 780 -0020 City of Zephyrhills Permit Application . Fax- 813 - 780 -0021 <br /> Building Department V f6q <br /> Date Received , 3 - 1. ° ( -49 9 Phone Contact for Permitting L ( iu -- 7 c <br /> Owner's Name 191441t4 ! OxfL /6S //%/! Owner Phone Number —727 yZ 2 7800 <br /> 50 /S .3`! <br /> ,f Owner's Address �T /� � / Z� /!�� /� /L�� 335 <br /> f-� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5.6 /5 87 - % Za= 'a/ Ai ;Li, 3 353 9 LOT # <br /> SUBDIVISION PARCEL ID# /( Z L L / 00 (O Z /000 CO /a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F5 ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I, j COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I <br /> DESCRIPTION OF WORK /0i /L/d/ R/0 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION X 90 0 • Da <br /> I 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ , <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I 1 ROOFING I I SPECIALTY I I OTHER IkuP <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I�NO <br /> BUILDER 401— COMPANY tOOZttJ /.44- v3t /o/e S, //ye. 1/ G N FEE CURRENT Y / N SIGNATURE ` � � U REGISTERED I Y(J I I l <br /> 7 Address V . 0 . 61A 3 a(fl ,Dad.e,l , , 3 a5c941 r License # C I SD5I S <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 ( FEE CURRENT I Y/ N l <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N l <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N l <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />