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813 - 780 -0020 City of Zephyrhills Permit Application , I (� Fax -813- 780 -0021 <br /> Building Department " I /� (0 <br /> Date Received I -' • 0 Phone Contact for Permitting 35-2 7” -- /923- 44 / 4S <br /> Owner's Name F?C7r' ( 1 . T r cQ( on 5 (4c lQ k r .Jk.-C Owner Phone Number (J 1 3- I L i - ,,5-9 <br /> Owner's Address 3 7 CI I i( ( - ( -J fQ zr° /A 1.f ., f --Owner Phone Number <br /> Fee Simple Titleholder Name 1 Owner Phone Number <br /> Fee Simple Titleholder Address n Q <br /> JOB ADDRESS 37 -1I, J '�f"`" LOT# <br /> SUBDIVISION PARCEL ID# 0 .-- 96, 1 - - CDO Q –06 0 -.— C0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED W NEW CONSTR ADD /ALT I SIGN J MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR Cal COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I� OTHER I I • <br /> DESCRIPTION OF WORK .— 5 ce�JC (4,...)Q-0 (4,...)Q-0 Q - S c (� t1 r J- - / <br /> � rl •. • • • - - <br /> V _ r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ 90O0 % VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> l GAS I I ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> `� II <br /> BUILDER ( l COMPANY ge)c,-��j r 51, rk CG rp <br /> SIGNATURE /_ ���GGG REGISTERED l Y// N I FgE CURRENT I Y / N 1 <br /> Address 7O S. L 2 y)iC t\ . 1 6 N--) f Ijr k_ l � 3 y6" License # S c�O qt 7 <br /> ELECTRICIAN �' CO MPANY C�C�,/ 5' J Rt N T vp SIGNATURE i c REGISTERED I Y% N l FEE CURRENT I Y / N I <br /> Address License # o L/ ( <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I I <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 1 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-0-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 />