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813 -780 -0020 City of Zephyrhills Permit Application ° Fax-813-780-0021 <br /> Building Department 'ate I U <br /> Date Received Phone Contact for Permitting a / 7H -- <br /> Owner's Name 4 0!7 /l Q.� /2.4'71 L' Owner Phone Number 1 /3 - JJ3 i.?67 ' <br /> Owner's Address 3 4 66-3J' de/ V"()/1 CO(,v[! Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address / 8/�i <br /> JOB ADDRESS 3 6 62.33 / e /%,. �- / / -olo" C ttid 7 LOT # 14 / <br /> SUBDIVISION s! 'l { /�C/'LtU'0 Ph- 1,1 PARCEL ID# y- o ccJd - 4 - I"w <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED pq NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM I 1 OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL 11 OTHER I <br /> DESCRIPTION OF WORK S &Z.k.k4 TO 0 A . COA�de <br /> BUILDING SIZE / el X 3 Li SQ FOOTAGE 3 6a 0 HEIGHT <br /> 4 1 BUILDING $ ( / ` S-1 /* w VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> I 1 PLUMBING $ CO PERMIT SERVI <br /> (813) 7884314 <br /> i I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION FAX 1-86,4324. <br /> GAS 1 1 ROOFING 1 I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES CI NO <br /> BUILDER l.'�GL /,. ,` 4 COMPANY ea-AP T - � i <br /> SIGNATURE / Lt/ f 1 REGISTERED I Y/ N 1 FEE CURRENT I Y / N <br /> Address (t y0 /Tif '- / (/t5 ,& Z -20,_§ Fl License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <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 />