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813 - 780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> Building Department 11�I ' / * ` 1 0 <br /> 111 <br /> Date Received 17./(•ik • / i a00 9— Phone Contact for Permitting 81 — I /Des 7 I <br /> Owners Name ∎ "r l ... . ...... <br /> � � 44ra / Owner Phone Number <br /> Owners Address I 31 1 61. 1 i. A) Owner Phone Number <br /> T L <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS - MS KN. fAQICIvfJ 1•iVl✓ o^ LOT# /_ 304 <br /> , <br /> SUBDIVISION ( tvri `, goC u V∎ 1 PARCEL ID#I -a .a1 O /80 rO0 -3o1 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR <br /> INSTALL I ADD /ALT n SIGN Q MOVE Q DEMOLISH <br /> REPAIR <br /> PROPOSED USE Q SFR Ti COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME Q STEEL Q OTHER I I Po <br /> C d <br /> DESCRIPTION OF WORK muse Ora\ 1 J C� h I O W' " A 41, • LO w e-Lu deCA <br /> BUILDING SIZE I SQ FOOTAGE I HEIGHT 1 <br /> BUILDING 13 .c8 7. 3's VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ O AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> aoo <br /> n PLUMBING $ 1/ / <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOI. .4. }� /�1. /r/� D1 <br /> n GAS n ROOFING SPECIALTY n OTHER ((� / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES [] NO <br /> "" e <br /> BUILDER , L— COMPANY 30(- 017700, fP ei� jt FiKia- <br /> SIGNATURE i REGISTERED I Y/ N FEE C U RRENT Y/ N - r <br /> Address , - M s , „_ s _ License # I &MK? 7 8a, <br /> ELECTRICIAN <br /> PF * ■ COMPANY ITP�11651) I IOCCh Et e W � <br /> r►C.. � <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/ N <br /> Address • ' 3 1 Z AA6 (L 353' License # I n 00o a4 4 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I 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 <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 Attomey (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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter If on public roadways..needs ROW <br />