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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department 9 .' z . <br /> Date Received ; -- t(p '0 Phone Contact for Permitting - <br /> Owner's Name l■A l ( (\/L1Lt Owner Phone Number 6, 3 1- k�� q (b 19 <br /> Owner's Address 3 6 ■ CJ 5 \ 0I. QVR Owner Phone Number <br /> ,Simple Titleholder Name Owner Phone Number <br /> - /Simple Titleholder Address <br /> JOB ADDRESS 38 j 05 1 OA AVE LOT # <br /> SUBDIVISION C PARCEL 1D_ # 1 1 '26" 2l- 001t - 0( OOid <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ✓" NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> 1/ INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR n COMM I I OTHER I FE til cc... I <br /> TYPE OF CONSTRUCTION n BLOCK I I FRAME n STEEL n OTHER I I <br /> • <br /> DESCRIPTION OF WORK ...X,v� cL 1Q \.A.)(30 a A.9,-.-.Q....,.,-,,c �p"p G nJA . } u o X O� ,cAA�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $• ; ' (� p 0 � VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.0 <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA 1 IYES I <br /> BUILDER j COMPANY d ,C OW u <br /> SIGNATUR - "lir/ <br /> '� P REGISTERED I Y / N I FEE CURRENT I Y / N <br /> Ad. - ss ` License # <br /> I <br /> ELECTRICIAN / COMPAN? ' / <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 I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # • I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # 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 />