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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 10 D1 <br /> Date Received le-(J9 Phone Contact for Permitting — <br /> Owner's Name /e6 d S DG--/ i (-- U AV/PL.' Owner Phone Number <br /> Owner's Address '7 5 0 (/ 01 e/`' /1 /') / iA LL fl Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> LOT# <br /> JOB ADDRESS <br /> SUBDIVISION PARCEL ID# 35 _,..1 5 ' / - 0 / 2 a - 0e),9 o '-' (7.1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED W% NEW CONSTR ADD /ALT I 1 SIGN n MOVE n DEMOLISH <br /> PM INSTALL REPAIR <br /> PROPOSED USE n SFR I I COMM n OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER I I <br /> lv / <br /> DESCRIPTION OF WORK / 4 "e // / v41 c c Ec:- iv C t- <br /> BUILDING SIZE SQ FOOTAGE 6 T ,/c" HEIGHT <br /> f <br /> I l BUILDING $ /(5 -, 7 0. 0 C> VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ <br /> AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES LINO <br /> BUILDER 1 COMPANY -J ' c � / -s[ <br /> SIGNATURE ` , -�C._.. REGISTERED <br /> '0 I FEE CURRENT Y / N <br /> Address 1 5 ' A t/iy' ? 7 7 < S. License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y 1 N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ Ni I <br /> Address License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address 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, 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />