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813 - 780 -0020 City of Zephyrhills Permit Application Fax 813 - 780 -0021 <br /> Building Department it / Z . b <br /> Date Received / 23 Phone Contact for Permitting 113 7 -- / <br /> Owner's Name Lc / f ' Leu)24 aloe -tip C Owner Phone Number <br /> Owner's Address 3 3 y 1t/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 5 V ilk U r /d. LOT # <br /> SUBDIVISION C tl Z lb'tJ4 PARCEL ID# l /� 0 b —a ()WO - c QCI <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Ft1 NEW CONSTR ADD /ALT n SIGN 1 I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 1 COMM I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK �) I I \ � n FRAME 1 STEEL I 1 OTHER <br /> kh DESCRIPTION OF WORK " / ��'`�r2__ <br /> BUILDING SIZE 6 In X old ' SQ FOOTAGE L 1 V3 1 1 4 HEIGHT <br /> 1111 BUILDING $ (7 r 1 .d° VALUATION OF TOTAL CONSTRUCTION <br /> gib <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I j W.R.E.C. <br /> I I PLUMBING <br /> ts/ 766 -3 4 <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> J f f <br /> I J GAS I 1 ROOFING 1 1 SPECIALTY I I OTHER �/1V" <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES 1 INO pe4. <br /> BUILDER l � J COMPANY k 7 e /i. LL ( . <br /> SIGNATURE �� V4 �pp 1 ' ' ( ,/`J REGISTERED I Y / N I FEE CURRENT 1 Y / N <br /> Address 4 o / -0L,t op ,L 2e /-7 . License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N j 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 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRENT 1 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />