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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department . q3 �j <br /> Da ►Rece;ged - 2_0,0 Phone Contact for Permitting - - <br /> j <br /> Owner's Name {- A /1 r S (r 5 J- (3/c. - r-- L Owner Phone Number <br /> Owner's Address 7 ©F c O P z /4 ti b Q v Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 7 o g G 0 6 0 fir, LOT # <br /> SUBDIVISION PARCEL ID# 2-q-2-6 2 1 Ou r c) 0_ 00/00 _ 0 d p O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN 1 I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 I COMM 1 1 OTHER 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME n STEEL I] OTHER 1 <br /> DESCRIPTION OF WORK -1-- ^-- c T4 / / / - T; ; 4 c r /... 5, �vl lecutri (A, i d /A41W) <br /> ! (! , <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY ri W.R.E.C. <br /> 1 I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 50_406 C(h (led <br /> I I GAS 1 1 ROOFING I I SPECIALTY 1 I OTHER 'f'eL <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES ONO s2,7 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y / N <br /> I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED ( Y / N I FEE CURRENT I Y/ N I <br /> Address License# <br /> PLUMBER / / / COMPANY ( <br /> k5 I/` P1-66 <br /> SIGNATURE _ /// _Air REGISTERED (Wie(-3 <br /> Y / N FEE CURRENT 1 Y / N I <br /> Address 3 72./ ( ( 6/..1, a a -/(, ‘.5 License # 1 C f , ( Sa X 5 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N 1 <br /> Address License # l <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N j FEE CURRENT I Y/ N 1 <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 />