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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 -0021 <br /> �� <br /> Building Department fq I <br /> • <br /> Date Received 1/45—...._ 13 Phone Contact for Permitting ` Q <br /> .rn� Owner Phone Number 3 a 0 1 4 " <br /> Owner's Name � � J 1.S �i✓ • "\ C� <br /> Owner's Address 1 0 / A. R l ac E' lD } l n` 1 t S I Owner Phone Number I <br /> Fee Simple Titleholder Namel <br /> Owner Phone Number 1 <br /> Fee Simple Titleholder Address <br /> I O I A I' \ P i A) \, n• L 1 LOT # 1 H LC <br /> JOB ADDRESS <br /> � � Zf-C 3 e - vo��a-�3S�d <br /> SUBDIVISION I `2/?LV `�\ p I PARCEL ID #I — OBP , <br /> D (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ��' 111 NEW CONSTR I I ADD /ALT 1 I SIGN h MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR I 1 COMM I 1 OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I I F I I STEEL h OTHER I <br /> DESCRIPTION OF WORK 1 (!ms ' "`^�e " 'mod / /0 I <br /> BUILDING SIZE O ) . \ 2 SQ FOOTAGE q I, HEIGHT <br /> I I BUILDING $ , 9 ° {� � j Y <br /> �L D -/ ✓ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1 I ROOFING 1 1 SPECIALTY r ---- I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES [I NO <br /> f <br /> BUILDER 1 t COMPANY am e, <br /> SIGNATURE l\ l'CI 1. REGISTERED 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 # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address • 1 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 />