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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department kcito( <br /> =, <br /> Date, Received " ! o ) ) --0 Phone Contact for Permitting 3 - GAD <br /> Owner's Nance J SSy M ©L. g E - --6 % HOnf '9 s Owner Phone Number ( - 7 S' 2 .g 2-4 <br /> Owner's Address 1 OL / 7 % f /)f > bX U-1,11)/ 7.44P6' Owner Phone Number u 2 - c-‘ o Zt g <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / /� 1 <br /> JOB ADDRESS /10 ef4S r 6 fl L 6Pi -1 aC i>✓ ILLS rC 3 SSA -i2-- LOT# 1 *f Z <br /> SUBDIVISION PARCEL ID# " ZG " 2 / f5 °I (7 45-0 a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM n OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME 1 1 STEEL I I OTHER I <br /> DESCRIPTION OF WORK / . (,,[-)2 I '4 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> o <br /> 674/ BUILDING $ <br /> G Qv VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS I I ROOFING I 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES [] No <br /> BUILDER . COMPANY L2 c' 4/" - <br /> SIGNATURE , , ■ I REGISTERED Y / N I FEE CURRENT I Y / N I <br /> N <br /> Address I License # <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 . 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I <br /> Address I License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address 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 /> • <br />