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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780-0021 �� <br /> Building Department / _ 965 Date Received 1 � t 813 7 - J 1 p ‘5 I <br /> 1 L Phone Contact for Permitting <br /> Owner's Name f (2.4 CAN a f c Q t t r k g M ` 1 Owner Phone Number <br /> Owner's Address - 7 3 2, 2., , LQ.L t 44 " fT Owner Phone Number <br /> Fee Simple Titleholder Name J Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS SQ/•, Q LOT # 1 b (d <br /> SUBDIVISION A' S V. I14 c PARCEL ID# 3C-7C - 2 1 - ©0 S A -00000- / P c O <br /> J (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN rf MOVE I DEMOLISH <br /> INSTALL REPAIR $ ked <br /> PROPOSED USE SFR /�� C [ OMM n OTHER I 1 <br /> TYPE OF CONSTRUCTION BLOCK � l � / � a E L n OTHER <br /> DESCRIPTION OF WORK ( / 6 / <br /> BUILDING SIZE 1 u / ri e q SQ FOOTAGE I I . D HEIGHT <br /> 94 BUILDING $ (t 0 lJV n ^ , VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> n PLUMBING $ <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> F GAS n ROOFING ( SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS ' FQ9QD ZONE AREA nYES [ <br /> BUILDER / ,� /� /`� <br /> COMPANY a (Ai " <br /> SIGNATURE ".....-1_ v / REGISTERED ( Y / N ( FEE CURRENT ( Y / N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> OTHER SIGNATURE REGISTERED COMPANY <br /> I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I 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, Stonnwater Plans w/ Sitt 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. (ANC upgrades over $5000) <br /> Agent (for the contractor) or Power of Attomey (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 it on public roadways..needs ROW <br />