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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department C 06( f <br /> Date Received • Phone Contact for Permitting I/3 70 -- V <br /> Owner's Name f On ki ilid pJOn Owner Phone Number 013 3L - 6/ Q/ <br /> Owner's Address 32 7/J i rta(fr Ti4e—e/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,Q <br /> JOB ADDRESS ' 7 9/P 8ti dye_ di LOT # <br /> SUBDIVISION et) h er.r in -1- I?kJ PARCEL ID# /Y --02-4 d (1 . 4)- - 61/4)(A) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Fli NEW CONSTR I I ADD /ALT 1 I SIGN 1 1 MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 1 I COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 I FRAME I I STEEL 1 ( OTHER 1 I <br /> DESCRIPTION OF WORK / 0 / X ' ' `' ll /19074 <br /> /' L <br /> BUILDING SIZE id t x I 0L SQ FOOTAGE ° 0 5 HEIGHT <br /> BUILDING $ a Od VALUATION OF TOTAL CONSTRUCTION <br /> bi,ir / <br /> 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> 1 1 PLUMBING $ PASCO PERMIT SERVICE <br /> (813) 788 -5314 <br /> I l MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION FAx 1.866.824.789 <br /> I I GAS 1 ROOFING 1 I SPECIALTY (.A I OTHER V t l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 1NO <br /> BUILDER { <br /> Q)1 ('' COMPANY 4J V /t 4 iyy ia/k ` C <br /> SIGNATURE `,I / REGISTERED 1 Y / N I FEE CURRENT Y / N <br /> Address G $7 q ,co,,- ' "`"J kV z-014/ ,/J License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <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 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <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 />