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813 - 780 -0020 City of Zephyrhills Permit Application Fax 813- 780 -0021 <br /> Building Department j 135 <br /> Date Received , 616-09 Phone Contact for Permitting /CJIt, -- 6457 <br /> Owner's Name •••• AST'" o y p i (-) Q fk A -7 of Owner Phone Number ¶ /3` /'Zg - ' / ? ' <br /> Owner's Address 3 3.R (-)1F v -D L Owner Phone Number 113^ `-- ?- sc'...Ca <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 ' 5 3 ( Pie ti d c co Lc) P Zip/' V 0 /-t (0 57 LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I I COMM OTHER 1 5/-4E7 <br /> TYPE OF CONSTRUCTION 1 I BLOCK 1 1 FRAME I] STEEL 1 1 OTHER I I <br /> DESCRIPTION OF WORK D'e.' I Q-1- y - _CI"G/".e ____. She)) P Dr-I 1e—, <br /> BUILDING SIZE ` X / p X O SQ FOOTAGE / n Q / <br /> HEIGHT <br /> 1:20' BUILDING $ d <br /> � p ��, ,� VALUATION OF TOTAL CONSTRUCTION <br /> L I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY Ti W.R.E.C. <br /> I 1 PLUMBING $ `eJ — I <br /> MECHANICAL <br /> 1 I VALUATION OF MECHANICAL INSTALLATION C; <br /> I 1 GAS 1 1 ROOFING I I SPECIALTY II OTHER \ JV o <br /> 1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I] NO <br /> r ii r Vrv:&AVIII .anlr� .rTat +lei (. <br /> BUILDER /- /) t COMPANY CE's "� >�C9' 8 ! f iv L"cs <br /> SIGNATURE ( • (/L, REGISTERED Y / N FEE CURRENT Y / N <br /> Address Lipense # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N _I FEE CURRENT I Y / N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N . I FEE CURRENT 1 Y / N I <br /> Address I License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 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 />