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813 - 780 -0020 City of Zephyrhills Permit Application Q � (I Fax -813- 780 -0021 <br /> Building Department 11 <br /> Date Received Phone Contact for Permitting / 3 2 4.7 -- 1 cj C L( <br /> Owner's Name e Owner Phone Number 3 /3 1/ 3y - c s <br /> Owner's Address 7 _ «' a V D 1 5 ✓ e— Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 2 ; g � a � � eAt •i rJ 1 vim_ Ze, t,y f j(s F (• 3 3.3 LOT # <br /> SUBDIVISION ,Pd(tc VI i Eqs CST• PARCEL ID# 35 - co x° - Os J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR p9 ADD /ALT I 1 SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I I COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME STEEL n OTHER I <br /> DESCRIPTION OF WORK ge./ tt cc t.9c 7 , ,-\\ s e. d'tl a s z e Fo r s ; z e , <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ >/ 6 , J 7 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 1 I AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> I I PLUMBING $ C Y <br /> � P <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS I I ROOFING 1 I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES Ell NO <br /> - r , <br /> BUILDER 4_._ z ( ' COMPANY 4a..A ) CC.0 iatY0 S <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I1 ? W Cr 2 ckS1 S I p 1L7 336,3y License # I 06 ,g7g <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y / N I <br /> Address I License # 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I 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 I 1 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />