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813 - 780 -0020 City of Zephyrhills Permit Application Fax - 813- 780 -0021 <br /> / Building Department oC rt'le ( <br /> • <br /> Date Received �■ / ./ b Phone Contact for Permittin D 13 523 -- 3(4 3 3 <br /> Owner's Name PlA\ ` \\( \ C\ 2T . Owner Phone Number <br /> Owner's Address L (,L t ) - Owner Phone Number <br /> Fee Simple Titleholder Name I V /J- Owner Phone Number <br /> Fee Simple Titleholder Address t.\ 11\ <br /> JOB ADDRESS ' c )1 l Oirl l 1•A4A LOT # <br /> SUBDIVISION S5e0 \'1rf)3 6\x.1'1 PARCELID# p3 -2l9 - 21- bItoo'Ccc 0- 0S�.QT- <br /> t (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Fr NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE P. SFR n COMM n OTHER <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL n OTHER I <br /> DESCRIPTION OF WORK PCO �y11.0t;$ure. <br /> BUILDING SIZE , X c 4 4 4 ' <br /> SQ FOOTAGE 1 1 o HEIGHT ? �I f <br /> n BUILDING $ (v 000 GO VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ l! AMP SERVICE f1 PROGRESS ENERGY n W.R.E.C. <br /> n PLUMBING 1 <br /> .0p-R4. LA. <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (�pi -kI U "7 <br /> I GAS n ROOFING n SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES n NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 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 # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y / N 1 <br /> Address a V � License # <br /> OTHER COMPANY I �JV � C01�?\1'C�C. +1 )�' � ( )`�(� <br /> SIGNATURE REGISTERED / N I FEE CURRENT I / N <br /> Address 5A 1 4 L1 c n 1%) e_ _ License # C IZe t '7)2.g1 &O ..... ..... <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 />