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813 - 780 -0020 City of Zephyrhills Permit Application '7( Fax - 8 13 - 780 - 0021 <br /> Building Department <br /> ' Date R6ceived – ' 0 – 0 Phone Contact for Permitting -- <br /> Owner's Name / ( //veL TT S ne, jje6.7 wNu ' Ow ner Pfi6 mfier• - '- / (O -- --J <br /> Owner's Address Qg 110,41e.- 0 /J 7a' 6 - � Owner Phone Number Fee Simple Titleholder Name /2f /cl11/1- ('L- 'f 4g., ✓l L4 " ( out -CJ/tie Owner Phone Number <br /> Fee Simple Titleholder Address 5o53 / 7 T� / _eP 7 <br /> JOB ADDRESS 5 3 /7 7 S // f C' , ( LOT # (7■ 1 3 <br /> SUBDIVISION A /.4 PARCEL ID# 1/ .26 2 / C /l] / 300 C/ c / Cam' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Ix I NEW CONSTR ADD /ALT ( 1 SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR I 1 COMM 1 1 OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I 1 FRAME I1 STEEL OTHER F IM <br /> DESCRIPTION OF WORK /Y :!°7.¢4 - f r L' <br /> BUILDING SIZE /0 X /,;Z / SQ FOOTAGE A9 ° 5 HEIGHT <br /> F / <br /> BUILDING $ c g / 03 . 6)C) VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $4- AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ 71/ I <br /> MECHANICAL <br /> 1 oe VALQJ ° ID►• F MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS /) / 40K L / / - FLOOD ZONE AREA 1 IYES 1 INO <br /> ItliffirailliniallWallir f0 <br /> r <br /> t <br /> BUILDER / CpMfANY 1/ 0 �� <br /> SIGNATURE , / W - - , - -c --� ,,�_'�REGISTERED I Y / N 1 FE E CURRENT I Y / N 1 <br /> Address <br /> License # <br /> ELECTRICIAN <br /> COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />