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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 8/ 3 / -- y z. 7/ <br /> Owner's Name SiOX 5 g /go $ 'ern 4'fv SG Owner Phone Number ?f 3 ' 3.2. 4 /L <br /> Owner's Address 3 3 7 / 2. fr7 o a eyed 2mi9.' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 56-h? e LOT # <br /> SUBDIVISION PARCEL ID# /3 - .24 -it / - 0/ Ye- OOO &` ei /Q ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION BLOCK I / I FRAME 1 1 STEEL 1 I OTHER I <br /> DESCRIPTION OF WORK �- �� <br /> � �O CC De / /N c 5 X00 <br /> BUILDING SIZE 6240 X 5 ' SQ FOOTAGE Dy. HEIGHT 7 <br /> BUILDING $ /oO VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ , AMP SERVICE I t4 PROGRESS ENERGY I W.R.E.C. <br /> Soo <br /> I I PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING 1 I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES [ONO <br /> BUILDER � di /J�� COMPANY p�` � 'v ��N`'-"" Y euil/ <br /> SIGNATURE , �► " �%/ REGISTERED I Y / N I FEE CURRENTT / N I <br /> Address 9-9 7 /� ' ,C �-- � 2 /L/ pZ c..- <br /> 5ysz License # CV G C 60 / <br /> ELECTRICIAN 3.5 COMPANY 'O % r £'eC i'YIC <br /> SIGNATURE 41.4 {, REGISTERED ( Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # FC '000 /Z4 F <br /> PLUMBER COMPANY f <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY _ <br /> SIGNATURE REGISTERED I 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) 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 />