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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813 -780 -0021 <br /> Building Department Oil' 1 Date Received Phone Contact for Permittin e /13 7JJ' -- `C l V <br /> Owner's Name E// Z(i € ? / 1 rr-e4 Owner Phone Number <br /> Owner's Address S 7S/ VOrZS ire ,rive Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address (� � ��f C L/� I <br /> JOB ADDRESS 5- 757 !d rLrAI /0 r• Z�pAyr" i ` ! t , 1S S7"�I LOT# ( <br /> SUBDIVISION We 6.0,,,/ /27,0,-- PARCEL ID# `e -02b - - cl/� - �OOC - Or id <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED N NEW CONSTR ADD /ALT n SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK n FRAME n STEEL I OTHER I I <br /> DESCRIPTION OF WORK S -e-/) rooms en .-Q )C /f7L J <br /> BUILDING SIZE (R Y /6 SQ FOOTAGE 7d-0 HEIGHT <br /> BUILDING $ (JC/ 7�t/1 (Y VALUATION OF TOTAL CONSTRUCTION • <br /> I I ELECTRICAL $ / AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ p <br /> ( 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOI�1 Ate' 8 3T8 <br /> GAS 1 1 <br /> ROOFING I I SPECIALTY I I OTHER FAX 1'x-824 -7694 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES IIN0 <br /> 0 <br /> MillitillIMIVAIMMil <br /> � 1V/ /r / i * / I COMPANY 45 V K e , 1 --7;t . -� C - <br /> BUILDER <br /> M�,� , ,. , <br /> �� ,, <br /> SIGNATURE t/ REGISTERED I Y / N I FEE CURRENT I Y / N <br /> Address Ile �S% � �` // y i� & Zp 0 „ "' k r` IS ' 0 J License # I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED L Y/ N I FEE CURRENT I Y/ N I <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) 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 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 />