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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> A -4 Building Department q ((I <br /> Date Received -1 v111111 <br /> Phone Contact for Permitting -- <br /> Owner's Name V te-L" t-e 1-4,5,44.4 / Owner Phone Number 7 � 2 Ill - 7 <br /> Owner's Address 1- ? 2 off' d p <� fly /6 721 Owner Phone Number <br /> Fee Simple Titleholder Name 2e1k,'vj t I lS 3 333 9 Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS ;< 7 P S 3((2- LOT # <br /> SUBDIVISION r c t . S Q C.rL - S PARCEL ID# 1 2 - 6 - 2- (— O(0 - 7 - - f — 6 f <br /> r (OBTAINED FROM PROPERTY TAX NOTICE} <br /> WORK PROPOSED Ffl NEW CONSTR ADD /ALT I SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL p.0 REPAIR <br /> PROPOSED USE 1 x . 1 SFR 1 1 COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1� BLOCK I 1 FRAME 1 1 STEEL n OTHER 1 I <br /> DESCRIPTION OF WORK K L el , e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> WE BUILDING $ ! L i 0-0 VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 W.R.E.C. <br /> 1 1 PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1 YES 1 <br /> BUILDER ' A j COMPANY ii4 (h e 0 ,<-') `k e It- <br /> SIGNATURE S`" At_.� 9.; �, REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N I <br /> Address I 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 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 /> OVE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs - 7 Sewers Serv Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />