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813 -780 -0020 City of Zephyrhills Permit Application / <br /> Building Department <br /> Date Re= �eived • 3 f7 Phone Contact for Permitting -- <br /> Owner's Name 19'711 1—OTO 1 )e./ ,t Owner Phone Number <br /> Owner's Address 3 .Z. U G,�N 1SD V'JL.. Owner Phone Number <br /> 2 7 ) ,t , -4- <br /> Fee Simple Titleholder Name Owner Phone Number <br /> 3 3 `/L <br /> Fee Simple Titleholder Address '''�� <br /> JOB ADDRESS � O LA b c / /R LOT # <br /> SUBDIVISION Al)/ a. (/ ( PARCEL ID# 3 J 25 2/ ' - ()(00 - 5k d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I vr SFR I� COMM 1 OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL I OTHER 1 <br /> DESCRIPTION OF WORK C ' / 6-4'P' ,,L <br /> 8 LDING SIZE SQ FOOTAGE HEIGHT <br /> A <br /> as <br /> j a BUILDING $ % / L VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ CQ' AMP SERVICE 1 I PROGRESS ENERGY (l W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI • <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA []YES FT NO <br /> i <br /> / e� <br /> BUILDER ', / / ? COMPANY `cS F/ DOOR S RV //1 e <br /> SIGNATURE 4ti REGISTERED I Y/ N j FEE CURRENT I Y/ N I <br /> Address te f D 12 , j , /«alm f License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y/ N <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N <br /> Address 1 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. (NC 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 />