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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department <br /> b9 y <br /> Date Received <br /> Phone Contact for Permitting -- t <br /> Owner's Name Peal --114 ( / ' 50 — k 1� ff Owner Phone Number — S tq — o 5 <br /> Owner's Address 3c101 5 c kv\G�.,1 Z D' % Y4 ► l I IS Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �(] (� <br /> JOB ADDRESS 3O5 Cowl v o.. � sa� I (I S �� � SL{c� LOT # <br /> SUBDIVISION PARCEL ID# (v -Al - 0 `l7©_ OQc' 0 i 3r✓ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT r SIGN I 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR �r <br /> PROPOSED USE I 1 SFR 1 I COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION 1 - 1 BLOCK (� 1 1 FRAME I 1 1 STEEL n OTHER 1 <br /> DESCRIPTION OF WORK .6 P c.) ©T c t \ ct1 IT no <br /> o <br /> BUILDING SIZE SQ FOOTAGE l © HEIGHT <br /> BUILDING $ 3g0a VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE ( 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ,PC1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I License # <br /> ELECTRICIAN COMPANY f <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # <br /> COMPANY r YYYX V 1 fl <br /> SIGNATURE_,, REGISTERED 1 Y/ N Of\ FEE CUR 1 Y/ N 1 <br /> Address 3 6 q 13 n S Z' i) I- 11 f S 1 License # ICCC t S RESIDENTIAL Attach 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 />