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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received — 1- Phone Contact for Permitting 35, 5,, -- ' 7 <br /> Owner's Name /� 7,P / 1 ) 1 Owner Phone Number o �^ <br /> Owner's Address (D 0 , .5 � i r �,4 e Owner Phone Number !� I -- 3 3�7 -4-33,2_ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �• ,�,,/� <br /> JOB ADDRESS 10 o2.5 z h r Odle LOT # <br /> c� :11 2 7?? , <br /> SUBDIVISION PARCEL ID# 0 3 ~0z(1 -"A l _.0 l 2 Jl� -co 'T f 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR I I COMM n OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 / FRAME n STEEL n OTHER <br /> DESCRIPTION OF WORK (o1 t (� A ' . V� (,(.v �' fi L, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> I 1 PLUMBING $ g )( /„ <br /> MECHANICAL $ 4400 o D VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS I 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 1 License # <br /> MECHANICAL ° `Q 44 /jl 14 / COMPANY S ! Al c 1 <br /> SIGNATURE "`���\ 'v `^'� REGISTERED Y / N FEE CURRENT <br /> r �( I I CAC I Y/N I <br /> Address 11 Aa 3 A V S 4 I �O ( License # LAC 05 g '7 5 <br /> OTHER ( COMPANY <br /> SIGNATURE REGISTERED I Y / N J FEE CURRENT I Y/ N I <br /> Address License # J <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 />