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813 - 780 -0020 City of Zephyrhills Permit Application „� Fax -813- 780 -0021 <br /> Budding Department <br /> Date Received Phone Contact for Permitting -- <br /> �' <br /> Owner's Name 1 K &G 7) e Owner Phone Number sr 3 - r � g 62 - <br /> Owner's Address 5 00 / O 7 ” t � J ms-! .e Owner Phone Number ; 3 - I g o` v 77.1 <br /> Fee Simple Titleholder Namel elm ) Zv Kee -' E Owner Phone Number g 1 3 - '7 8,7 —q <br /> Fee Simple Titleholder Address 50 O °f c - O7f7 ST K EET <br /> JOB ADDRESS 5 00 _I Q O TG7 S T R-E E T LOT # <br /> SUBDIVISION / v A PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT El SIGN I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR 1 1 COMM I 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION I BLOCK I 1 FRAME I 1 STEEL I OTHER I 1 <br /> DESCRIPTION OF WORK a- i G ATi ON S y5 eW-) <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE F PROGRESS ENERGY I1 W.R.E.C. <br /> 1 I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS n ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 <br /> BUILDER �� COMPANY /`ft) fl1 e (.O Yl er <br /> SIGNATURE � � f "`� f REGISTERED I Y/ N FEE CURRENT I Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 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 I License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y / N 1 <br /> Address I 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. (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 />