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813 -780 -0020 City of Zephyrhills Permit Application t Fax-813-780-0021 <br /> Building Department Y/fi� 501 <br /> Date Received 1 ri . ,' 7hf -- S3/ ' <br /> Phone Contact for Permitting <br /> 1 /3 <br /> I I I t I I I, I 1 I I I I 1111I_I' ' SJ <br /> � o/tp/ J a- Owner Phone Number d�3 - 7 ^ 0 [ r/ <br /> 9- .J <br /> Owner's Name D. ,� <br /> Owner's Address 1 3I( a-6 ai c� �' "y " I Owner Phone Number I <br /> Fee Simple Titleholder Namel Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS I s Qs a..66ree !/ I LOT # I f <br /> SUBDIVISION <br /> V / A) /if. PARCEL ID #L v a — 024 - ' L i °C210° oOGbd - DF'Vd <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NM NEW CONSTR I I ADD /ALT I I SIGN I I MOVE Q DEMOLISH <br /> iiiira INSTALL REPAIR <br /> PROPOSED USE 1.K1 SFR I I COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I I STEEL n OTHER I I <br /> DESCRIPTION OF WORK a,00d clatz e/ Ig■ d wPer. ( eE ) <br /> BUILDING SIZE a k lei' SQ FOOTAGE <br /> 0W HEIGHT <br /> BUILDING $ 8d0. cX VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I W.R.E.C. <br /> I I PLUMBING $ _ , , <br /> : , - <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` <br /> I I GAS I I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS / BLOOD ZONE AREA I 1 <br /> BUILDER i COMPANY va) ' <br /> SIGNATURE 4)trik REGISTERED I Y / N i FEE CURRENT I Y / N <br /> - fit I� 0/ Ab 77� � pi License # I <br /> Address tS 0/A �`�'" �-C.� <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 I License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 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 />