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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department 131 <br /> Date Received "' Z CICI <br /> Phone Contact for Permitting c� -- <br /> Owner's Name PO of 4- ►ne.Ctr CUr1< Owner Phone Number ?r?- 7 ov' /374" <br /> Owner's Address 38 i 3 5 mark-4- S (J .re z A(1 //1 Owner Phone Number <br /> i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 31'135` th4rkP. . ✓are Ze /lyfA re-._ ?SYG LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM NC] OTHER I VCQ. reeff ` <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME 1 1 STEEL 1 I OTHE I <br /> DESCRIPTION OF WORK Pe aref - Tea.ra� .e.jc ;Sit-11 bci /i- UP rajah cep(ce tv,`g /L& ..S mon B/t <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ <br /> 3 q . aoi , VALUATION OF TOTAL CONSTRUCTION <br /> J / <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> n PLUMBING $ Al I- <br /> 0 ` <br /> ../ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 4) 0 C.' , /6 I I GAS ROOFING 1 1 SPECIALTY n OTHER / 1� � � el <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES []NO 3 . /' <br /> Jo <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I 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 # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N I <br /> Address S License # <br /> OTHER ../ ......"---- 1 , � r COMPANY k L vt a cit/ P- WC- <br /> SIGNATURE REGISTERED Y Y <br /> Address 7g-el 3 .L l t,1 4r 7 1-,- � / f License # C L C d 3 7 0/3 <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 /> -roo - Sewers Service. Upgrades A/C Fences (Plot/Survey /Footage) <br /> iveways-Not over Counter if on public roadways..needs ROW <br />