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813 -780 -0020 City of Zephyrhills Permit Application `' / ? j Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 1/3 7 -- _ '/ � <br /> £ /l•CA GOl d et) Owner Phone Number f /9- sW 9.S <br /> Owner's Name` //_ � N n <br /> Owner's Address 3753 /-4- '1 / An M - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � �� / �j <br /> JOB ADDRESS 3 7SS '—d fe '� "` h� 7 & ,Dr. <br /> LOT # ( <br /> SUBDIVISION 46 1 J^ Ph -/ PARCEL ID# 37 — I4) -40 a3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 1141 NEW CONSTR I I ADD /ALT I I SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK /6 f x 36 5 c/'ee ' r00/4 <br /> 2 <br /> BUILDING SIZE ! li t X 3. 1 SQ FOOTAGE 576 HEIGHT <br /> ..•• <br /> PA. BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ <br /> 7 AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.0 <br /> I I PLUMBING $ PASCO PERMIT SERVICE <br /> (813) 788.5314 <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION FAX 1-86 - 824,7$94 <br /> 1 1 GAS 1 1 ROOFING I 1 SPECIALTY 1 1 OTHER / " / v ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO C.-61. <br /> BUILDER , ' COMPANY C <br /> \ ,-& REGISTERED Y/ N FEE CU I Y/ N <br /> SIGNATURE 1�`� R I <br /> Address & /SS/ Cot/ 3 Xi 2--- 4611( f/ ' J3S License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 l <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <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 # <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 />