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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received , — 2 — ( 7-0 ' Phone Contact for Permitting ! -- ? 7 <br /> Owner's Name _ � �r� -4 Owner Phone Number * 6 4. -- 7 7 7 �T <br /> Owner's Address 64 3C- TXx., ».ti,cx'11 --Co vk i 1 11*1 Owner Phone Number <br /> Fee Simple Titleholder Namel Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS ap4 ` 5 1 J k,\Lt. GoVA, C� LOT # 3 <br /> SUBDIVISION 4 \ N I err, Ph 11`1 PARCEL ID# 04 ' c 9 6 � , I -(x34:0 - 0 0 i0 - 0 0 6 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR ADD /ALT 1 1 SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® I 1 FRAME � � STEER n � O THER <br /> TYPE OF CONSTRUCTION 1 BLOCK <br /> DESCRIPTION OF WORK 1)6 q e( .La y V' X t L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ <br /> CI /� * VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ V ttJJ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.0 <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES [] NO <br /> BUILDER al <br /> COMPANY K , �/,! ..L� t ivy , ,' c .,,- -- : ,'�`4..� <br /> I <br /> SIGNATURE REGISTERED 1 N 1 FEE CURRENT I Y / N <br /> Address I51 ,.0)(7 3f- tu:.ry cs mot r &Ai:S 101 OTcl v a.. ` . 3 License # (K . 50Qck 1 <br /> ELECTRICIAN COMPANY l <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 1 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />