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813 -780 -0020 City of Zephyrhills Permit Application a 5 3 Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> it } <br /> Owner's Name 1- / E I ' "' 0 / ` re il ' Owner Phone Number <br /> Owner's Address JC Q:35 d-\ •os;ck- ; t2 - 4 'AAA Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address et JOB ADDRESS !4 "l 1 3 \ 0 \±- 5 -3 LOT # n /51 <br /> SUBDIVISION (3N2-.L k 1 ST PARCEL ID# 77; 1- K 7 I Lk L L0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �i SFR I 1 COMM 1 OTHER 1 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK FRAME 1 1 STEEL n OTHER 1 1 <br /> DESCRIPTION OF WORK t \ - i . 1 2 C - ,L -- ( C -i C— <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 2 (y) L AMP SERVICE I><1 PROGRESS ENERGY 1 I W.R.E.C. <br /> 1 1 PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> F 1 GAS 1 1 ROOFING 1 I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES [NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N 1 <br /> Address License # , .11 ELECTRICIAN (c't COMPANY 'Y L' l !/\ e l Q C \ c , <br /> SC <br /> SIGNATURE d. k X L I REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N 1 <br /> 1 <br /> Address )‹ G, ?,1 v I 1 C i 3S` f'_C- License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT l Y / N 1 <br /> Address ( License # n <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 />