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813- 780 -0020 City of Zephyrhills Permit Application j 10010 Fax -813- 780 -0021 <br /> • Building Department U <br /> Date Received 1 . 22 (0 Phone Contact for Permitting ..5 3t..0 <br /> Owner's Name D UY 1`-A l �} vl -� Owner Phone Number C , - - i9 � <br /> U" Owner's Address I ` J ` t'h 2aphui rh tt Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS �q 3 S I 1 Y" �� i 1- -epr q rho L 3 3 sy a LOT # <br /> SUBDIVISION PARCEL ID# J c (e z I - 00/0 t f b O4 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR n COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK 1 FRAME n STEEL n OTHER IReptcx_c_f_. <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE U HEIGHT <br /> n e� <br /> BUILDING $ I VALUATION OF TOTAL CONSTRUCTION <br /> 52_5 p r <br /> I <br /> n ELECTRICAL $ AMP SERVICE FT PROGRESS ENERGY n W.R.E.C. <br /> n PLUMBING $ 64" <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> n GAS n ROOFING n SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES f NO <br /> � <br /> c_ � <br /> BUILDER � I COM PANY mw {� <br /> ` � <br /> SIGNATURE REGISTERED FEE CURRENT CVl <br /> Address Lic)U • 6 �t �v i Deland -QP �� <br /> - License # rn ( J5J(0(0 <br /> ELECTRICIAN V COMPANY <br /> SIGNATURE <br /> /lJ ' REGISTERED Y/ N 1 FEE CURRENT I Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED � Y / N 1 FEE CURRENT I Y/ N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <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, Stomiwater 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 Attomey (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 />