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813 -780 -0020 City of Zephyrhills Permit Application _le q q,� Fax-813-780-0021 <br /> Building Department <br /> Date Received * Phone Contact for Permitting <br /> „, 5,2,1 -- `1 <br /> Owner's Name ME • `•I 6 , Owner Phone Number <br /> Owner's Address lilac (/rV I S' ft Ili{. Dr Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �1 // , n <br /> • <br /> JOB ADDRESS 1 4 1 AO WI 5 "f e a. 1 LOT # <br /> SUBDIVISION PARCEL ID# / 24 &o-00600 - 2, 0 - 0 25(1) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED E NEW CONSTR ADD /ALT I SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I STEEL n OTHER I <br /> DESCRIPTION OF WORK 1111 1 0 tt± A G Cs 6 ii-le <br /> BUILDING SIZE SQ FOOTAGE <br /> HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES ]No <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y 1 N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I // ""'' License # <br /> MECHANICAL i COMPANY arts ris / ' a <br /> SIGNATURE `off U '/ REGISTERED I Y/ N I FEE CURRENT /� I Y / N I <br /> r <br /> Address J h t v` ' License # CAC 06 g 6 1 l r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I 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 />