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813- 780 -0020 City of Zephyrhills Permit Application y7 4 Fax -813- 780 -0021 <br /> Building Department t� <br /> Date Received ` , 3'' 7f% -- 17 3 <br /> Ph <br /> // /� L// one Contact for Permittin <br /> Owner's Name ) // <br /> + /L7f..j ,, 7 � i SS /"/ � Owner Phone Number O 79 5$1 <br /> Owners Address 333 5 3 835"7 C 4 5 ` 7 ' E Owner Phone Number I <br /> Fee Simple Titleholder NameI N/A Owner Phone Number <br /> Fee Simple Titleholder Address �r <br /> JOB ADDRESS .. J 3'3` 7 c e 511 E LOT # <br /> SUBDIVISION PARCEL ID# 0 2 - 02 6 - ..g1 gOl /9 - Gl 'oo.0 - C // <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR COMM n OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK I 1 FRAME n STEEL n OTHER ( I <br /> DESCRIPTION OF WORK /l p & 6 'V E 5;1 / Z9 cc ; ri Aie`l‹ LO 44r 9N pn) S79 X16 ett) , (l el <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION 7 / 751 <br /> ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.0 <br /> /Job— t 7_ crl •J C.e L <br /> n PLUMBING $ <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 I GAS n ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r YES n NO <br /> BUILDER COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License* I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y 1 N I <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N <br /> Address I License # I <br /> MECHANICAL COMPANY <br /> ' <br /> SIGNATURE V REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address ) License # <br /> \L <br /> OTHER e COMPANY tee!) /1-s 5 e <br /> SIGNATURE <br /> REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address <br /> 70/ S LA" 0") 4/F, U400Vs 3 License# IES00 / y/ <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 instated, <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 instated, <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 /> ** * 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />