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813 - 780 -0020 City of Zephyrhills Permit Application 6 Fax- 813- 780 -0021 <br /> Building Department <br /> • <br /> Date Received <br /> -" !J " Phone Contact for Permitting -- <br /> Owner's Name 4.1//44 441 � � _ 'Vibe / ,/r Owner Phone Nu er cf/i 8 ^ , ?/p <br /> Owner's Address 37 5 6/"-- 4(/i' Owner Phone Number /7? 7/ 3 r cPb <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,/ <br /> JOB ADDRESS 3 7 ' C ' 0 4 - 4, / C L 4 , Z/ /0-4, t #, cs fZ 1j fVl LOT # 2 7 <br /> SUBDIVISION 6 ,Y,)4'17 1 / n L / 2O,S4f PARCEL ID# 3 ^Q ,'7 m — 0 0 0 0 0 w^ 02 7 7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT I I SIGN I I MOVE I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE MI SFR I I COMM 1 1 OTHER I 1 <br /> TYPE OF CONSTRUCTION I BLOCK I I FRAME I I STEEL I 1 OTHER I 1 <br /> DESCRIPTION OF WORK ' (4 v.1 - a4 , C. L d" `At �� /L'r <br /> BUILDING SIZE /7X/02 SQ FOOTAGE c y HEIGHT <br /> ad BUILDING $ .2 o a • (O ` 9 VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1 1 ROOFING I 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nNO <br /> BUILDER r COMPANY V 6 444/1/1____ <br /> SIGNATURE 17�!'!✓ REGISTERED I Y/ N . 1 FEE CURRENT 1 Y / N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N 1 <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED [ Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # (— <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 j 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 />