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813 -780 -0020 City of Zephyrhills Permit Application 0 34 Z Fax -813- 780 -0021 <br /> Building Department <br /> Qp Phone Contact Permitting `3 / 5 317 -- OS-0 A <br /> Date Received , �- �� � t f Prmittin <br /> ! <br /> FS, 4 C, v O not__ Owner Phone Number i 1 3( - 05 Lit <br /> Owner's Name 1 l C�l/.,N (� r l l tom. <br /> Owner's Address 5 f 5 1 S V- U1'\ V� U2 ([u {n `1 ` ` 5 t/C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address [� J <br /> JOB ADDRESS 5 ( 5 J V / 4 ,' i — - 1 11 Q,- ,l LOT # <br /> SUBDIVISION PARCEL ID# 1 2- -2 - v /- - 00 " z3 a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED MIN NEW CONSTR I I ADD /ALT I I SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 50 SFR I I COMM I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME h STEEL I I OTHER I I <br /> DESCRIPTION OF WORK Re- pla ce s // Ch /1/ C/co f <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ q.o :5 CJ _ VALUATION OF TOTAL CONSTRUCTION # 0 <br /> �_ • c <br /> i <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.0 <br /> I I PLUMBING $ <br /> I l MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 ( GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES El NO <br /> c <br /> _ ` IS 1% <br /> BUILDER / COMPANY �C r- Guz.�- tir <br /> SIGNATURE / / f / REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />