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813 -780 -0020 City of Zephyrhills Permit Application Fax 813 -780 -0021 <br /> Building Department � <br /> Date Ifeceived Phone Contact for Permitting 1 -- <br /> IIIIi 1111111111 11111 Y � Trr [ TY <br /> Owner's Name i r`0Mas , + /1 CI1QO Owner Phone Number 7 ff 3 ` 113 <br /> Owner's Address 3 (5'11 1 stiad y ?1%, 4 Loop Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Sefr" LOT # <br /> SUBDIVISION s; l vPrada PARCEL ID # I O I ' 2 6 – 00200 – '0060 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME I I STEEL n OTHER I <br /> DESCRIPTION OF WORK PVC �p 44 cc <br /> BUILDING SIZE -ea FOOTAGE /301 <br /> HEIGHT "1 d" b <br /> BUILDING $ 9 q 9 00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ l 7 AMP SERVICE I I PROGRESS ENERGY I W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO <br /> BUILDER j / J� ` ' COMPANY A c»ie «/U1,4 14-4/ <br /> SIGNATURE } / / FL / REGISTERED Y / N I FEE CURRENT II Y // N I <br /> Address \ _5 - % /0 L S 7 G t'ijhi [�f 3.3YL License # J / 93 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N1 I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address 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 1 FEE CURRENT I 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />