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813 -780 -0020 City of Zephyrhills Permit Application 6 , 0 Fax -813- 780 -0021 <br /> Building Department �} i �7 / <br /> Date Received S `L I � � Phone Contact for Permittin. 8 (J ( -- /( 7/ <br /> Owner's Name I-1 5 A P21e/ ? 4/2 (D Owner Phone Number 5(3 ' SAS' 5S 3 <br /> Owner's Address Cpl( S 9 Z /7( 4(/ / ft 3. . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 7 <br /> "JOB ADDRESS CO ( q L C ' [ <br /> 'i /i t U5 / . 335 q LOT # <br /> SUBDIVISION PARCEL ID# 0.4 o2 a 1 ©l ' .(0U 006109 011 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN 1 I MOVE 1 I DEMOLISH <br /> )4 INSTALL REPAIR <br /> PROPOSED USE 1 '›C 1 SFR [ COMM n OTHER 1 1 <br /> TYPE OF CONSTRUCTION n BLOCK ( I FRAME I I STEEL ni OTHER I <br /> DESCRIPTION OF WORK /Q6 /80,1)r 157K 54 � , F 4/IC <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 BUILDING $ iq / a, VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C, <br /> 1 PLUMBING $ <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS n ROOFING 1 I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA n YES I <br /> �r <br /> BUILDER <br /> I COMPANY / / � � *MA OLv /0 SIGNATURE / ' ` (sl REGISTERED I Y / N FEE CURRENT Y / N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y / N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 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 />