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813-780 -0020 City of Zephyrhills Permit Application weq lax- 813 - 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name ffi9' / GE Owner Phone Number 6l3 - ' / 9 - g -?/ <br /> Owner's Address 52 Y7 0 51 Owner Phone Number 0? -1/ Y - 6 0-7 6 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Z V7 t� S� LOT # <br /> SUBDIVISION PARCEL ID# t( 6- 21/ —Ol D 1320 0 — 0o9a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Fl ADD /ALT I I SIGN 1 I MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR 1 1 COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I <br /> DESCRIPTION OF WORK g"° <br /> BUILDING SIZE SP SQ FOOTAGE ?3 HEIGHT 2 — Srbl e y <br /> BUILDING $ /Di mad VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE [] PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> F MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS rd ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ( IYES ( INO <br /> 1 <br /> BUILDER // \" COMPANY ti/ 4 /�'�!/�1� l`�Cd''if�'��`�i�i✓ <br /> SIGNATURE / REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address /ZG?' c d/C EY, ';. frt /o�s,,�.✓ifNrltAfi% F 3.32.r7,5 License # < (3 Z C / b fi <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N ] FEE CURRENT I Y/ N I <br /> Address I 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 />