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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department - CA/C4 7 <br /> Date Received' 04 � "(Y7 Phone Contact for Permitting -- <br /> Owner's Name ( V- t 1 } Y1 V " lA V 1I v\ Owner Phone Number <br /> /- 1 'n <br /> Owner's Address 35 _ st (,ve � D0.ks b/ Y Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (03 S 3 S + 'e v 0 & ks p A Z it y ✓ 41 7/] F/ LOT # <br /> Cc ;r r' <br /> � <br /> SUBDIVISION t if DGtK - PARCEL ID# 03'" 6' "Z1 -01 Z G -- 00000 — I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I ] SIGN n MOVE I] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 SFR 1 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I I STEEL I I OTHER 1 I <br /> DESCRIPTION OF WORK l "<e k7 )/ 1,37 q Q / ` ,L- 14SoAtcy ( + ,S Yl t l+ 3 k 3 5 <br /> BUILDING SIZE SQ FOOTAGE / HEIGHT L/ <br /> BUILDING $ 7c-0 <br /> / 00 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY ( W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIO S FLOOD ZONE AREA 1 IYES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I <br /> Address I License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address Li I <br /> CC ce // nse # <br /> OTHER COMPANY S (6 € ca k f _l9 J (t �'i c1 / C <br /> SIGNATURE _ REGISTERED I Y/ N I FEE CURRENT 1 Y I <br /> Address (o x / (es- 3 3 S,e 5,2 ,4h lAm F7 License # I C 05 7 , c 7 <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 />