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813 -780 -0020 City of Zephyrhills Permit Application j 6U � Fax-813-780-0021 <br /> Building Department <br /> Date Received 4 S O 1 Phone Contact for Permitting -- <br /> '''N Owner Phone Number . i -' /(S CO <br /> Owner's Name ; cx . f i is r I <br /> Owner's Address I5- Z ( A I Owner Phone Number <br /> Fee Simple Titleholder Namel ( Owner Phone Number <br /> Fee Simple Titleholder Address I I <br /> JOB ADDRESS 7 L7 l VG ic K S' A ; r °t.._ sa I LOT # l I <br /> SUBDIVISION <br /> PARCELID# fb 2'`_2'1 „ l.( 2 -0 -V"dO 0"3o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 1 NEW CONSTR I I ADD /ALT 1 1 SIGN 1 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM n OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK 11 FRAME I I STEEL I I OTHER I <br /> DESCRIPTION OF WORK c\ e____S / k., ) P ICiv c e- rin vs P /e.ec-c,c)c-:- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I BUILDING $ 6 ..30v VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS ROOFING 1 1 SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES LINO <br /> . Ill R - __. <br /> 0( BUILDER COMPANY <br /> SIGNATURE 0 s• Q REGISTERED I Y / N I FEE CURRENT ` I Y/ N I <br /> O ddress 19 SOS M3-20<A ��-" ` I )e0g�.N 33.5 V 0 , ( License # s'""— 4`3a 760 y <br /> eS'�Y� <br /> ELECTRICIAN COMPANY "I l/ � C <br /> SIGNATURE REGISTERED Y N I FEE C ENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # 1 <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />