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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received ■ 07 t i l j l o g P h o n e Contact for Permitting -- <br /> 1I I I I I I I I 1 11 11 1 <br /> Owner's Name 5 /3krJ grin G ra O V: N - -- Owner Phone Number VI y'd--c" '? <br /> (Owner's Address ' 3 20 t7 S + ® .�Z e Y r 1. it S T1 1 1( I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> (JOB ADDRESS 532Z f7 + S4, i Za r►. its ( F1. 33 4Yz- LOT # I .0 <br /> SUBDIVISION CC .r) F Z*7,rriAllt s PARCEL ID# / 1 - 2 " 24 - °°/ 0 -- / 71° o -01949 <br /> 1 v 1 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 'WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE K SFR 1 i I COMM 1 I OTHER I I <br /> TYPE OF CONSTRUCTION I I r B - LOCK FRAME 1 I STEEL n OTHER 1 1 <br /> ( DESCRIPTION OF WORK 140 T tf1r «/N e... T <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 BUILDING $ (p / 900 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS tic ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA 1 IYES 1 INO <br /> BUILDER OMPANY 5k1/401C �ee$ ROARe `} ` 'T►w" tW <br /> SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT 1 N 1 cat <br /> Address 2-s ca kr.t.i'4'/'1 C- C* 1 JA rco F( .33596 [License # Cc G. 13 2.8 72.y <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N 1 <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 />