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813-780-0020 City of Zephyrhills Permit Application �) 72 r D p Fax -813- 780 -0021 <br /> p Building Department y <br /> Date Received /1 s" ?j, 0 J Phone Contact for Permitting , / 7.6 i -- S3/ <br /> Owner's Name ~— Lynn M/s44 Owner Phone Number <br /> Owner's Address ,S 7 ST /3 j' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S 7 yS /3IA V Y 4Q A LOT # 3, V n , ' IT � '' <br /> / / X1 <br /> SUBDIVISION a /� � '` /�th PARCEL ID# 11— p — 02i— CO/0 " d 7/00 —0030 <br /> J � 4 <br /> / " (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR I I COMM I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I I / STEEL I I OTHER I I <br /> DESCRIPTION OF WORK S QA roc 7d ' X , y' C /tp(�EcC1.14 0 l Iv/ Attu j <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> qi BUILDING $ 4,79C/so <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I W.R.E.C. <br /> I 1 PLUMBING $ <br /> PASCO PERMIT <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (813) ]j8. <br /> F �4 <br /> SERVICE <br /> FAX 1- 886 - 8247894 <br /> I 1 GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES El <br /> v <br /> BUILDER ' / <br /> SIGNATURE r ' /�'' t COMPANY 66-/1 t f i '� u�c 4 - c ✓ AC - <br /> /� ��1 t/ /4 REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address t MI 6 c €(,cs z Z I t #--454) License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y/ N <br /> Address I License # I <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 I FEE CURRENT I Y/ N I <br /> Address License # r --- <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 />