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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received . e,- Q 0 <br /> Phone Contact for Permitting -- <br /> Owner's Name . . Li. [ 1(pvi / // t- . b1-� Owner Phone Number X} .> j '7 1 20 S 1 <br /> Owner's Address 6 cJ I ? A [ cp_U x / , b - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS GOI - 1 Kkcig�wo y by- . LOT # <br /> SUBDIVISION jr 1 1 I PARCEL ID# Q - C. - Cpl - 0 1.0 - c " 05 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 I � SIIGGN 1 I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR 14 <br /> PROPOSED USE 1 I SFR I I COMM I] OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 � FRAME I STEEL 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK �.Q-'�rOde Mob be l t..u/ 5' 1 l <br /> BUILDING SIZE SQ FOOTAGE 490 HEIGHT <br /> I I BUILDING $ /" a 0 <br /> (O (J(J . -„—. VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I_ 1 W.R.E.C. <br /> 1 I PLUMBING $ r <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS ROOFING 1 I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1 1NO <br /> f <br /> BUILDER COMPANY I '_ <br /> SIGNATURE REGISTERED 1 LY / N I FEE GURRENI0 I Y/ N I <br /> I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y / N . _I FEE CURRENT 1 Y/ N 1 <br /> Address I 1 License # I I <br /> OTH - ' _ �, COMPANY � r1 ( � \ i r) <br /> SIGNA • L' -NEW <br /> do 0 <br /> REGISTERED I Y / N ] FEE CURRENT Y / N 1 <br /> Address • -.Z,• ,jj License # (CC R 2 - - SS Ce S1 <br /> -, <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />