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813 -780 -0020 City of Zephyrhills Permit Application 92('E Fax- 813- 780 -0021 <br /> Building Department ?,� Gr/] <br /> Date Received tit I a- 0 Phone Contact for Permitting <.3 . -- l) 0 1"► <br /> I <br /> Owner's Name , `) a L /� r \ J Owner Phone Number r e 1 <br /> Owner's Address sq L (\ ��* ✓ ► I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5q (Y EDyr_ Lr � LOT# <br /> r <br /> SUBDIVISION t- nres`3i ► \ \C , J PARCEL ID# !( $ 3pt in II O jQcfY rr I f 15) <br /> ((( ( TAIN D FROM PR E TY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 1 MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I COMM . 1..3 OTHER <br /> TYPE OF CONSTRUCTION n BLOCK 1 1 FRAME n STEEL n OTHER <br /> DESCRIPTION OF WORK WC ,634,k , .tt .k t, \() A/1 A_, 0 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ AMP SERVICE F PROGRESS ENERGY n W.R.E.C. <br /> 1±1 PLUMBING $ . CO 00 <br /> I—I MECHANICAL $ (� w VALUATION OF MECHANICAL INSTALLATION <br /> n GAS I ROOFING 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES []No <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N 1 <br /> Address 1 License# 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address V License 1 ( 1 1.C--' <br /> PLUMBER s I , % ' COMPANY • r 1 c i - <br /> SIGNATURE 1 / % � bad ..I/ i REGISTERED � M NJ FEE CURRENT Y/ 1 b <br /> Address C �: �,� `f ,rt License # <br /> I I <br /> MECHANICAL I COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I License # I <br /> i • <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 Attomey (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 />