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813 - 780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 7 <br /> Building Department ve / / <br /> Date Received I Phone Contact for Permitting 7Z7 e -- v g351 <br /> JJJ <br /> Owner's Name `K Ian h 01(4 1JO rtes Owner Phone Number • , Q L J � D p J � � f l <br /> Owner's Address / �(3 t sa � 3 y- p <br /> Owner Phone Number d (5 a I / <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ' > p �� LOT # ' / I <br /> SUBDIVISION <br /> (131bletaiLiarelli PARCEL ID# n -.'2i' ?' - Dot Do - 60(0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED MI NEW CONSTR ADD /ALT I1 SIGN I MOVE I DEMOLISH <br /> me, INSTALL REPAIR <br /> PROPOSED USE __I1 SFR n COMM n OTHER Irr�� <br /> TYPE OF CONSTRUCTION I BLOCK I FRAME = STEEL „..... OTHER 1 I <br /> DESCRIPTION OF WORK 1 n 4(3_11 tor Vatted) <br /> BUILDING SIZE SQ FOOTAG'1 HEIGHT <br /> FT BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 11 ELECTRICAL $ AMP SERVICE 1 PROGRESS ENERGY I I W.R.E.C. <br /> R PLUMBING $ i t f / / <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS n ROOFING SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I]YES 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y 1 N 1 FEE CURRENT I Y/ N I <br /> Address <br /> 1 <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address i License # 1 � ' n <br /> PLUMBER �' COMPANY / 1. \ (p ( FEE ,(l, j�jX) bl <br /> SIGNATURE REGISTERED FEE CURRENT N <br /> Address IIECIII[ ,7100, _ tlnarl i ff ` License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Yin, I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ NI 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> I <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 />