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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> s Building Department �©7 3 <br /> Date Received ' 1..---.3 l ) Phone Contact for Permitting d43 7/1 __ Szil <br /> Owner's Name E Wvd—rO 4 e1 / Lai d'i Owner Phone Number <br /> Owner's Address `? 93 W IA /At Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �i �� <br /> JOB ADDRESS 37357 il ee LOT # s y <br /> SUBDIVISION 'S-(cR r / l &dia fw 4t b PARCEL ID# 4 al -IWO - - d s 7o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> III <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN I 1 MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK I 1 FRAME 1 I STEEL 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK 9 aim man�Poa/ roam <br /> BUILDING SIZE l & X l ." i SQ FOOTAGE b -O f HEIGHT <br /> BUILDING $ /el` 000 °L) VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ uoo • AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ 7 <br /> PASCO PERtArr SE <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (813) 788.58114 <br /> FAX 1 - 868 - 8247394 <br /> I I GAS I I ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES [ NO <br /> BUILDER 1 Q� <br /> COMPANY ' A_ t i#* . 4 auk Lie <br /> SIGNATURE 0 �� REG ISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address V9e2- 4� ` ' G . T '/'l xi 2 - ' f 33 SYCPL License # <br /> ELECTRICIAN S ✓ k COMPANY /4 0 1e/A C6ti e- <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I • <br /> Address p • d • Q J X 13 37 2 i1 4 /! fc License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # (— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I 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, 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 />