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813 - 780 -0020 City of Zephyrhills Permit Application �, Fax - 813 - 780 -0021 <br /> - Building Department - t t q <br /> Date Received • p 4P A i _5_5 , F/e <br /> / ora Phone J� <br /> Contact for Permitting .2 3 9 2 3 Fe, /' F ` <br /> Owner's Name - f ®r ify¢L S�1 7 2 yr �(/ S Owner Phone Number �/ .3 ? 3 3 `K- / 29 <br /> Owner's Address r7 Q 5 d (�/,1 77 I/S /e Owner Phone Number <br /> Fee Simple Titleholder Name /� ZJ/,! J Owner Phone Number <br /> Fee Simple Titleholder Address l 7 q (c,-7, // ,/j> <br /> JOB ADDRESS r o 7'/ 6‹ // ,�/ LOT # <br /> SUBDIVISION PARCEL ID# Do? - .2 - / - c3 O/D -O2$ O a -CO .2Q' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I MOVE DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 / STEEL 1 ---- 1 OTHER I I <br /> DESCRIPTION OF WORK P/1 as..e 2 .'E?- ' / < /~n ' 4Y: Or ) <br /> BUILDING SIZE I A/ SQ FOOTAGE , OP HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> i6,e� <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY W.R. I .C. <br /> pl-, � I 1 P �-, Jlls <br /> I I PLUMBING $ .� <br /> Ot^ ' ' <br /> I I MECHANICAL $ VALUATION OF MECHANICAL V 1 / 4 d 11."--- <br /> r ,► r l Ql <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER �- ZYV Ci <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES I <br /> BUILDER , " • A COMPANY J re1/c��! ( ,1 S //` // J fl <br /> SIGNATURE �/ e d„ / ,,./1GI /ear sz REGISTERED Y / N FEE CURB NT Y / N <br /> Address l o` dB- G>A'S,Cer., elPPL I F> 17 s' 33?'l, License# C4 4 .5 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE _ REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 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 />