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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department 4CJ 3(1) ( t✓ <br /> Date Received i /6'0 Phone Contact for Permitting T '47 3' -- 0033 #/0 / <br /> Owner's Name (e >i 3' Owner Phone Number 8 - 6 ( <br /> Owner's Address 3 -3 CS DR- Owner Phone Number <br /> Fee Simple Titleholder Name &.) 1 til Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 2 Q - " QC- LOT # <br /> SUBDIVISION PQ. IFT © tF -2_690 PARCELID# oa a a \ cram OO QC 00 30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I N/I ADD /ALT n SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 (1 BLOCK 1 1 FRAME n STEEL n OTHER 1 I <br /> It IA <br /> DESCRIPTION OF WORK Q Li lA/Ot?L P S I v5 cow - s IZ.ie <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 13 00 VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES El NO 41 <br /> BUILDER i12t'tl1'��1 O L)1 -1 �`-f <br /> -�� _ COMPANY D <br /> SIGNATURE - —" ar- a REGISTERED I f 1 FEE CURRENT Y / N <br /> Address :3 33 ' £Q&P- '( . CA- C C- -At- Fi-33 't (o4) License # ISCG 13 I j (j q S'!p <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # 1 <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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />