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813-780 -0020 City of Zephyrhills Permit Applicatio oi Z1( Fax- 813 - 780 -0021 <br /> Building Department Y� <br /> Date Received . • ' 't-11 Phone Contact for Permitting -- <br /> Owner's Name <br /> ' " I 7 e V � a1- + Owner Phone Number <br /> Owner's Address - S 7 1 LE 1 F0 ry Pt Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address J <br /> JOB ADDRESS 3 ~) if ( Fos( ru A P Z1 k`'t'iA t LOT # <br /> SUBDIVISION i <br /> 1.0e-V" D , a_. te_s PARCEL ID# 03 -Z.(D -0( ZU 'wvc)v — O '1& <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM n OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 STEEL n OTHER I I <br /> DESCRIPTION OF WORK 7 24- i ---00 1 CJ/ cPtid // v4fpj l -S <br /> BUILDING SIZE SQ FOOTAGE J-7 00 HEIGHT <br /> I I BUILDING $ 6 f i 0 0 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION k.)l✓ C <br /> I I GAS IF A ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES ]NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N l <br /> Address 1 License # <br /> y —, <br /> OTHER ;/ / COMPANY ...... .n } niat h / , h ' �N / <br /> SIGNATURE - i / // REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> lt <br /> Address " o j o x / f ' --mot ti G /l 33$ 7 License # I C S 7 5.5 7 <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 />