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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> , Building Department f -} J �7 <br /> • <br /> Date Received phone Contact for Permitting 36 5 � I -- L L t . __ <br /> 1II1111111111II11LL Y /' <br /> Owner's Name ►" t Ca- u. /I J Y 1 S I D Owner Phone Number r0 L 3 ?SS S S66S <br /> Owner's Address 3 g g 3 { I" J Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38837 I st Do LOT # <br /> SUBDIVISION PARCEL ID# / 1 — ( 240 --,Z ~ 00 IC _ DO OUZO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR 121 ADD /ALT 1 � SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 I OTHER I 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL I I OTHER 1 I <br /> DESCRIPTION OF WORK l/Y ► auti IG C ✓ S -v/ n ) r "' l <br /> BUILDING SIZE L l i SQ FOOTAGE HEIGHT <br /> I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> 1 1 PLUMBING $ <br /> ) MECHANICAL $ 3 o oo O D VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES 1 'NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # n <br /> MECHANICAL \ c e ' COMP ANY a% S 1 A / Ci (19 `` A /hn ` j SIGNATURE T REGISTERED I Y / N I FEE CURRENT ^ Y / N /I �7 <br /> Address I 19 3 a OS l'lvY y 301 License# CAGoSO 5'75 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # F <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 />