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813 - 780 -0020 City of Zephyrhills Permit Application x„ Fax -813- 780 -0021 <br /> Building Department � / <br /> Date Received 'Vj 2 3 -0 Phone Contact for Permitting e/3 7 O1 / -- 3 7 7 / cer/ 7' <br /> IIIIIIIIIIIIIIILLLLY <br /> Owner's Name • si A 4 11 1 ,11111111111111111111111 Owner Phone Number 1 ■ - D 9 <br /> Owners Address 41 1 LAN co-r- 4. e- S•4 Owner Phone Number <br /> Fee Simple Titleholder Name L...3 -e f Owner Phone Number <br /> Fee Simple Titleholder Address ,_ <br /> JOB ADDRESS q 1 t ' ) l_ r }- -fi S + Z -fl-' ) S 3 3S i}-" LOT # Z- I <br /> SUBDIVISION Fd n ,e(...4::) Ori PARCEL ID# , ti-- 2' , Z1_ D2 m- 0z, a <br /> (OBTAINED FROM PROPERTY TA NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I { - SFR I 1 COMM n OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK 1 -/ FRAME 1 1 STEEL n OTHER 1 _ 1 <br /> DESCRIPTION OF WORK 1 i X 1 Z. 1_)■••YOh d S kr d t , - n-o d . aU r <br /> BUILDING SIZE , 0 t Z. SQ FOOTAGE '1 Z a HEIGHT <br /> BUILDING $ 2 VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS n ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ( YES nNo <br /> h BUILDER ' � y ' COMPANY uL. C 1 S J h G - <br /> SIGNATURE 0 _ ; `� <br /> 1 ..► _ REGISTERED I � / N I FEE CURRENT 1 Y/ N 1 <br /> Address •I;. • - ._ �� License # FL /2 53 if LiS <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address , License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED l Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License # 1 <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 />