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813-780-0020 City of Zephyrhills Permit Application . 2 - 4Fax- 813 -780 -0021 <br /> Building Department '(�' !� <br /> Date Received ,r — � - 0 • Phone Contact for Permitting ` -- <br /> Owner's Name �e..40 dDU/t/7y/ � /ES /4 f1T Owner Phone Number � S2 S2 <br /> Owner's Address 3730) ,CD, i,e0A '4 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 47/2 /Pk�.T /? & 279/Y.6 /24S LOT # <br /> SUBDIVISION 0 PARCEL ID# /3 404O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED / NEW CONSTR ADD /ALT SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION pi FRAME n STEEL n OTHER 1 <br /> /�GPG.7 <br /> DESCRIPTION OF WORK CG /) 2 e WOO X 04/V.Z ADP �2' ,'�fJ K GC 2 A E "gy p <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ �J•7 2 -00 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> 4 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> v� <br /> I 1 GAS n ROOFING 1 1 SPECIALTY [1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 INO <br /> BUILDER COMPANY <br /> SIGNATURE Poglillai, REGISTERED I Y/ N I FEE CURRENT I YIN 1 <br /> Address ' 111 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I YIN 1 <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N 1 <br /> Address 1 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N I <br /> Address 1 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 />