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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department V q <br /> Date Received r1 - 1 ,s-- cf J <br /> jam c Phone Contact for Permitting <br /> I I I I I I 111 1 11111 <br /> {.�' ( <br /> Owner's Name ger Owner Phone Number 3i3r n a - 7 f Z <br /> Owner's Address 5' Q t ( ( i`Gu (S /J Owner Phone Number a 3 - 9O' s 452- <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,/� 1 2 <br /> JOB ADDRESS f- <br /> ([ I ( � S A V e LOT # 13 J <br /> SUBDIVISION i to u /E PARCEL ID# M 'Zc 21- Co A - -0 C) -1550 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED W NST CONSTR - REPAIR <br /> n SIGN I MOVE I 1 DEMOLISH <br /> PROPOSED USE ErI SFR 1 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK k)c 1 / II t�, FFRAME 1 STEEL I OTHER �;j , it <br /> DESCRIPTION OF WORK I� A <br /> SS ' 5 t 4 Di -` (X (2O ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 I BUILDING $ b VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.C. <br /> 1 ( PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 1 SPECIALTY F OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES pi <br /> BUILDER (' � COMPANY ��cfe -.- <br /> SIGNATURE • � ' REGISTERED ( Y / N I FEE CURRENT 1 Y / N <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT I Y/ N 1 <br /> Address I License # r <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address 1 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 />