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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 8/3 35S - /0'.-r <br /> Owner's Name 44v04L GU Z-v A Ck. Owner Phone Number 6/3 — 7$ -3-5 <br /> Owner's Address 37038 Cl7 -' cheGc4E, Owner Phone Number /1 , ir(8 /.� -3- 3 J/9S) <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholderrddres 2 <br /> JOB ADDRESS 5 73 - 73 5 26.771 ST LOT # <br /> SUBDIVISION PARCEL ID# Il 24Q - 2-1-0010-076,00-00,3d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 I COMM I OTHER I I <br /> TYPE OF CONSTRUCTION I 1 BLOCK �/ 1 I FRAME 1 1 STEEL I I OTHER 1 I <br /> DESCRIPTION OF WORK E -/POD / C (�oi ' Cz x) <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I ( BUILDING $ Oo VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I W.R.E.C. <br /> I I PLUMBING $ <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I <br /> BUILDER SIGNATURE 6 1°- <br /> 04" l COMPANY <br /> S <br /> / ,� g 4A.L._ REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address I 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 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <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 />