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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department IF <br /> Date„ eceived Phone Contact for Permitting -- �(' <br /> Owner's Name ' / y c e A 6caocie Owner Phone Number gf3 7 - . 9 < <3 <br /> Owner's Address , / t h iel / t /! Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 3 JOB ADDRESS 9 3i $� &4 v-e Ze'D�>" i /S �6 � LOT # ' <br /> SUBDIVISION Z e ? h r - 1 - 1 t 1'1+5. PARCEL ID# 1 Z 14' -11 -ESO yam. -cam °° a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I )Q I SFR I I COMM n OTHER <br /> TYPE OF CONSTRUCTION n BLOCK I I FRAME [ STEEL I I OTHER I <br /> DESCRIPTION OF WORK Ir G9 f __ ct O F3 , ^ °Oir / 5C d <br /> BUILDING SIZE SQ F OOTAGE HEIGHT <br /> BUILDING Si tO O _ 6-0 VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 I GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES LINO <br /> BUILDER COMPANY kid 17" 12,- 1Y7 />f'bt- GPZP/7TcrE.'' f/ <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address k3 ' " ? AJ •C � License # 2 C C ©� G2 T <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED [ Y / N I FEE CURRENT I Y/ NI I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address ( License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <br /> ESIDENTIAL 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. (NC 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 />