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813 - 780 -0020 City of Zephyrhills Permit Application It /� Fax- 813- 780 -0021 <br /> Building Department V( <br /> Date Received .' 30 0 Phone Contact for Permittin • 611t �- <br /> -- ir■ <br /> M_J'Ye Jl�f C3* -t ,L: Owner Phone Number 813 a <br /> Owner's Name ry� � - <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name ,solr _, Owner Phone Number L <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3830 0 , VY Lane—) l Lane—) — 7 LOT # 7( <br /> SUBDIVISION 17 2 , ,_ lC., PARCEL ID# azi-t f&J A- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT K1 SIGN 1 I MOVE ( 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 1 COMM 1 OTHER ( 1 <br /> TYPE OF CONSTRUCTION n BLOCK ( 1 `� FRAME [ ] STEEL n OTHER <br /> DESCRIPTION OF WORK ` acli a iaQ TC11 1 ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> /ow BUILDING $ 3$4 uv VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ d AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 1 PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> n GAS I 1 ROOFING 1 1 SPECIALTY 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES LINO <br /> BUILDER 401 0,1/ COMPANY ( "{� / SIGNNATT <br /> SIGNATURE �, t REGISTERED Y/ N i �ECURRE'NT J Y / N <br /> Address 1,34617%h C . 'V w p 2 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 I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N j FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address 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) 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 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />