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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department s /', `7 <br /> Date Received 7 0 ~ D Phone Contact for Permitting 559- 591 -- - 1 `I l7 r / <br /> Owner's Name ( ' 1 � VV \ Owner Phone Number <br /> IS 1 E-i <br /> Owner's Address 6 1 "6 N, ., a ,4-Q 0 ( . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address p <br /> JOB ADDRESS 6L A5 M t, c -& D(. LOT # <br /> SUBDIVISION E J i'\( 0,I O(X - PARCEL ID# OS - d(.0 - <9 1 - OISO - (woo - 06'0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM 1 I OTHER I 1 <br /> TYPE OF CONSTRUCTION I-I BLOCK I I FRAME I 1 STEEL 1 1 OTHER I I <br /> DESCRIPTION OF WORK (' l u , ( C* A j� LM n a ( Y AiLiT9? r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY ` I 1 W.R.E.C.. <br /> I 1 PLUMBING $ 1 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i 1 9 111 <br /> I 1 GAS 1 1 ROOFING I 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES Ell NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> i ws� <br /> ivy MECHANICAL ey-i (‘ t S P /,,, Ci COMPANY lay / „i7 r„ SIGNATURE l 109419 REGISTERED I Y/ N 1 FEE CURRENT 1 I Y/ N I <br /> Address lCJ jO 1AS KlAY �� I License # CA en GgSrJS” <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 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 NC Fences (Plot/Survey /Footage) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />