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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received - 0 Phone Contact for Permitting -- <br /> Owner's Name au4 MC- C- (- 0 J) 1 ` Owner Phone Number $ ( 3- 482...- Ot 31 <br /> Owner's Address 3-14,01 S Lbrushi k, 4-4.71S • Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address //�� �� <br /> JOB ADDRESS 3' IS L E4a .*) • LOT # <br /> SUBDIVISION PARCEL ID# 34• ZS• ZI • OtY O • foO • It Lo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I ( ADD /ALT SIGN 1 MOVE 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK `XL C�1Ae cwi �A" <br /> U <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ Py AMP SERVICE 1 1 PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $ � .- <br /> / / /000 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTAL TION r- <br /> I GAS I 1 ROOFING 1 1 SPECIALTY 1 1 OTHER /-/ 0 Z/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 YES 1 INO 4 <br /> BUILDER COMPANY <br /> SIGNATURE REGIST I Y/ N I FEE CURRENT I Y/ N I <br /> Address License <br /> { # <br /> ELECTRICIAN COMPANY (3164.41 �`� ��1L � <br /> - <br /> SIGNATURE 71............ REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1364 Gib} Ii,. c •4 . L Yi,J . ' License# eE.00 % - .43� <br /> PLUMBER vV COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N <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 retluirAd 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 />