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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name oc0 e. ) ( D f- A RV Owner Phone Number <br /> Owner's Address 3343 L O I II i s h or n 1. 1 , 6 6 d 4' Owner Ph Nut b � � i3 74 <br /> Fee Simple Titleholder Name bW e /f' D. E AV Owne Phone Number <br /> Fee S e Titleholde ddre 3+13 po L A nd 0' .1.16, FI • ?4469 <br /> JIILxiagss (.Jt )I ;5406 ),vv0 ) , Alid O 1.4 F/ 3;4 LOT# <br /> SUBDIVISION / PARCEL ID# 1 / – z4 ' Z/' 6 d Y O N -o 656 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 1 I OTHER 1 <br /> TYPE OF CONSTRUCTION I II • BLOCK I I FRAME 1 1 STEEL 1 I OTHER 1 <br /> �! <br /> DESCRIPTION OF WORK n 5 t4 1) e if C 1'.Q i C % n +M+) WY 20 Aid <br /> BUILDING SIZE /U X 2 D SQ FOOTAGE ! , ( `JO HEIGHT f <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL / y TIM AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. <br /> 1 1 PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 1 1 ROOFING 1 I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES I] NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address Li ense <br /> Ji <br /> ELECTRICIAN i �t 1 2 COMPANY � , I� �' <br /> SIGNATURE / <br /> REGISTERED I Y/ N I FEE CURRENT � Y/ N 1 <br /> Address License # /t /$6 t '(/J <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 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I 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 />