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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 -00 1 <br /> Building Department q 42 2-0 ( ) <br /> (; t ^ I' • <br /> Date Received', t g ? <br /> Phone Contact for Permitting __ S3/ '130 <br /> Owner's Name TOJt,D /' / &Y'f Owner Phone Number <br /> Owner's Address I 3 i6 1 6 a &Ar kiii6e Owner Phone Number I <br /> I <br /> Fee Simple Titleholder Name' Owner Phone Number I <br /> Fee Simple Titleholder Address �" " / <br /> � <br /> JOB ADDRESS 3id-6 Q�e, A Cdile LOT # /0 <br /> SUBDIVISION AV . 6 f' .4-/ PARCEL ID# 0 1 1 4 —01 ddO - vav- 440 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM I I OTHER I G=-LUIX1.4j// I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I 1 FRAME I I STEEL I I OTHER I <br /> DESCRIPTION OF WORK Cal 11r f' Oh "' C./171' (S'& <br /> BUILDING SIZE /3 ' AV I SQ FOOTAGE' WI/ <br /> 1 <br /> HEIGHT <br /> pci BUILDING �p <br /> $ 3e 61 7S. VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL I$ l AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> I 1 PLUMBING $ <br /> I MECHANICAL I$ I VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES [ NO <br /> BUILDER SIGNATURE '`�� " " c..� � �t "'` COMPANY U �5 •-"Zte <br /> �-- REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address G /S y / G - ""`• C A/ „ii ,/I( ft,i License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> I REGISTERED 1 Y / N i FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT 1 Y / N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> OTHER I COMPANY <br /> SIGNATURE I REGISTERED Y / N FE CURRENT Y <br /> I 1 I / N I <br /> Address License # n <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 />