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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department fi i Q4tZ 1 - q Date Received • Phone Contact for Permitting ,'/3 782 __ 33/9 <br /> Owner's Name 5k " g //� / ES 4-3 2 Owner Phone Number 7J-2. -0 9s"9 <br /> Owner's Address .Lo? /S9 34F6/5 24 iitf 4e 2 33 2 - Owner Phone Number 7 - / /// <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��' ,fYG me iAi .^��., <br /> .9 /L 4 =c# 0 f - f}r r 2e1a4 %.7/, j/. 33S'5 LOT# / <br /> SUBDIVISION PARCEL ID# O 2 -ZG - , g / -1.4z40 - D0000 -/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I 1 MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 1 1 I OTHER I /e,, /9ce Sc e n drAwee <br /> TYPE OF CONSTRUCTION I 11 BLOCK I I FRAME I I STEEL I 1 OTHER I <br /> DESCRIPTION OF WORK 4/."-Cr Acker r' PA / - ,5'e v /< E /iowce- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 4D 83 AMP SERVICE <br /> 020e 020e q I ) PROGRESS ENERGY n W.R.E.C. <br /> 1 I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS I 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y / N 1 <br /> Address License # <br /> ELECTRICIAN ( ) ' � COMPANY 7 •C /tc/ -r <br /> SIGNATURE , REGISTERED 1(9/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 3 9/// .A,4 le/ . Xs / License # ?37 6C` ma /2 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N ] FEE CURRENT 1 Y/ N 1 <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N . 1 FEE CURRENT I Y / N I <br /> Address 1 License # P <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 />