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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> i <br /> Owner's Name r r r ka s Owner Phone Number <br /> Owner's Address 3- (1 (-P t O X vu 2- e p t, ti r I^ 1 15 F( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> } <br /> JOB ADDRESS 3 1 to P x r Li^ el_ Z r. p r1A.J v k 1( LOT # <br /> SUBDIVISION PARCEL ID# 03 — 2-1/ —2 [ — V 1 Z © —arxo C90 o 3 7 -J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR I COMM 1 I OTHER 1 <br /> TYPE OF CONSTRUCTION 1 I CK ,( 1 I FRAME n STEEL n OTHER 1 <br /> DESCRIPTION OF WORK -e--' Jl P9 �• / <br /> BUILDING SIZE SQ FOO r 3 3 $ L HEIGHT <br /> I I BUILDING $ ID/ei° VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ 9 <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 9 <br /> GAS gm ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES [1N0 " <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 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 # 1 <br /> OTHER / 7 COMPANY E S� eh.el". 4 14; <br /> SIGNATURE -� ' y REGISTERED I ' / N FEE CURREN I Y / N I <br /> Address 1 VD C3 b X 11 ' - 11 /7 1 License # I CC G 65 7 �-f7 <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 />