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813 - 780 -0020 City of Zephyrhills Permit Application — -- - - -- _. = - - -- Fax - 813 - 780 =0021, <br /> Building Department ' .rj -- � ` Z-, <br /> V <br /> Date Received 02 - � � _ /0 \� (__.' <br /> Phone Contact for Permitting 0) y) -- 7 3 `I I <br /> Illltttillilill , ! <br /> Owner's Name -Q fN ,(v Q f k V�J I L 1C i rt Owner Phone Number sA me.. - <br /> Owner's Address / Owner Phone Number <br /> Fee Simple Titleholder Namel„- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 17- 5 q 6 2 T h ST Z t/k (( k . J !S F/ 32;94 LOT # <br /> SUBDIVISION PARCEL ID# J i 1 -' aG -. a 1 - ao I n - IO WO ;0170 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 I OTHER I !BOO 6 Fe AC L <br /> TYPE OF CONSTRUCTION I I BLOCK <br /> ,ji�� I I FRAME 1 1 STEEL I I OTHER 1 <br /> DESCRIPTION OF WORK r_/ F7 we o.J FCC.- f ,l/Pilil Af9th <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 7 S VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.0 <br /> I I PLUMBING $ ®- <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 6g j <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> tt0 f NJ - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I IN <br /> BUILDER /' , (y / , COMPANY 27 `lo M'_ i./(f r <br /> SIGNATURE V / 1 {�G� ( � 1/2- --� REGISTERED I Y / N FEE CURRENT I Y / N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N _I 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 />