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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 -- <br /> Owner's Name ✓ L0Z-41 � J (� Y'/'S Owner Phone Number g /3 - <br /> Owner's Address %: -733 7 J GUIf el /lam `✓!v Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS t,-` 373 31 late ve / Ik tm h90c k 4V - 7 r 4 ` 1 (' FL— LOT # 2 � <br /> SUBDIVISION 1 PARCEL ID# 5` al ,O / 3Q _- o c7 -P 5* <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK I 1 FRAME n STEEL n OTHER <br /> DESCRIPTION OF WORK /r/ C r7 J ; vGic.N e.- ' /i k - ce. e f �' F7 1/7 . <br /> c <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> f� m 00 <br /> 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 111LR.E.C. <br /> I 1 PLUMBING $ 1 gia3 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1 1 ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES [NO <br /> BUILDER COMPANY <br /> ��� � 1�� <br /> SIGNATURE V <br /> REGISTERED / N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1, Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # F <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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />