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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department -IF j Qo 1(0 <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name — 3 — /r34. 1,....t try 7 kg Owner Phone Number / / � i' a Y.f <br /> Owner's Address S? 6 £Gft (pig is' t.' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 /� 6 3 '' (... 4./w� x - z. 0f' -I LOT # <br /> SUBDIVISION PARCEL ID# 3 7 4J" 1 6'°94 O //V <br /> ° <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 I I SFR 1 1 COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 p I PA-9- I ( OTHER I I <br /> DESCRIPTION OF WORK Z �k/A 'ee4�' R-S.r 0 )T - ,u /¢ // PA-9- G'/'17 .S „ //JJ1"L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> C. <br /> I I PLUMBING $ ''. jA)L ' 1‹ <br /> i <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `e� (✓ �,/- �1 <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER it j T % <br /> FLOOD ZONE AREA Y NO e <br /> 3 - , r <br /> FINISHED FLOOR ELEVATIONS FLO N I I 1 I <br /> , . <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL / a , (fii)t4/ COMPANY S v�5/'f`�'t'' /1177 i z' L. /� <br /> SIGNATURE �/ // REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address I License # e4 t J /S / 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <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 /> FiII 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 /> ,...---- e f- - /3 - e f -- 7 V q 3 7 V <br />