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813 - 780 -0020 City of Zephyrhills Permit Application, i / q , v Fax- 813- 780 -0021 <br /> Building Department ,�i <br /> • <br /> Date Received ( J ' � '-- Phone Contact for Permitting -- <br /> Owner's Name • OC u'i YICe_ l F -... I ( A t Owner Phone Number p i3 ag - c53V <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 7 /3U c$ <br /> h 7/ ' 2 � ` F L ,3.JS 4" Z LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN ( I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 1 COMM I 1 OTHER I I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME I 1 STEEL h OTHER I 1 I <br /> ! DESCRIPTION OF WORK TA,l'l,1 2-E- Side aA E.,,_, e.,r e (z X -l- L ,�2 .:1, <br /> c <br /> BUILDING SIZE SQ FOOTAGE HEIGHT Lt <br /> „T,,; BUILDING $ / t )' ap VALUATION • OF TOTAL CONSTRUCTION a p% 4' Ta , -- - Y <br /> ,, f_._, ELECTRICAL $ 400 — AMP SERVICE ( I PROGRESS ENERGY 1 ( W.R.E.C. <br /> I 1 PLUMBING $ /V, IT9 V vt _ tG� <br /> ;__ 5 /d <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING 1 I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ONO <br /> BUILDER y 2 - COMPANY /�tJ ,0_7 <br /> IGNATURE .Lt .., ! 0. REGISTERED 1 Y / N I FEE CURRENT 1 Y / N <br /> Address License # <br /> ( ELECTRICIAN ^ COMPANY � � f P r <br /> / `SIGNATURE • REGISTERED Y / N 1 FEE CURRENT 1 Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N l <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N l <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 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) 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 />