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, • 813-780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> Date Received Ig 0 y' Phone Contact for Permittingo j 8'l 5 __ 7773 • Owner's Name is .. , v * I o - ' . r - ` Owner Phone Number <br /> Owner's Address 70 50 6. a (( divot Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 735 7f qv a4t(r7 A z9 9y %a te 3J SVt LOT # <br /> SUBDIVISION / PARCEL ID# 3s 25 047 Co 470Z 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT F SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM n OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I 1 STEEL n OTHER 1 I <br /> DESCRIPTION OF WORK Peseo/i1 r. (NC se/c�,,,.e_. rhor- 77cr.c- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.0 <br /> I I PLUMBING $ y c U <br /> ?"- <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C v <br /> I GAS 1 _ . <br /> 1 ROOFING / 1 I SPECIALTY Il OTHER 4 P/ <br /> FINISHED FLOOR ELEVATION WANE FLOOD ZONE AREA 1 (YES 1-1N0 - ____.) <br /> AW viii <br /> � ►r rimer " <br /> BUILDER / COMPANY r/ /a- Oa r4c7no,,. hlL .. SIGNATURE , / 1 0 "' / � REGISTERED 1C34' N . 1 FEE CURRENT I Y / N I <br /> Address / (ARA .cr.w f �i(v( r `. 3157a License # <br /> ELECTR COMPANY <br /> SIGN REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <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 1 Y / N I <br /> Address I 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 />