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813- 780 -0020 City of Zephyrhills Permit Application � ��U Fax -813- 780 -0021 <br /> Building Department - <br /> Date Received 6 -2brO9 Phone Contact for Permitting — <br /> Owner's Name ' re C C VlC € ' \kv - C Owner Phone Number 6137 2 2c Z / <br /> Owner's Address � 1 — I � - <br /> C� t Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 62 US ((s St z -A , r k (` C LOT # 1 3 <br /> SUBDIVISION 1 M lc ' ' " ( I PARCEL ID# GZ' Z(o " 2-1 - U t 0 - 0 6 0 0 6 - 0 1 3 C <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE I I DEMOLISH <br /> -/.: INSTALL REPAIR <br /> PROPOSED USE I' %I SFR I I COMM 1 1 OTHER I 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 I FRAME r--1 STEEL n OTHER 1 ( <br /> DESCRIPTION OF WORK c\ 0 k`� (11 C'' 0 04 R T 0 6\ 74,5..(7 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> • <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I] W.R.E.C, <br /> 1 I PLUMBING $ <br /> ® MECHANICAL $ [ —1 V VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 1 SPECIALTY ( I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 !YES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ■ <br /> fg MECHANICAL -- COMPANY Ati <br /> SIGNATURE �/ ae �� REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License # Q_ 4 0-4514 2? 2-7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED [ Y/ N I FEE CURRENT I 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />