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813 -780 -0020 City of Zephyrhills Permit Application / i6 o Fax - 813 - 780 -0021 <br /> Building Department / / n I lJ� /„O <br /> Date Received • ♦ �j '3 r 3 V <br /> � Phone Contact for Permitting � -- o <br /> Owner's Name M % EL L \Q � e_.c . f Owner Phone Number 0 --, 15 " <br /> Owner's Address $1 1 1, ! J Q ..) b S D (7 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3'T) \ p N ti _Pock' I) 2 LOT # .>0 <br /> SUBDIVISION 'ZR_P h f C Q.,b52 PARCEL ID# 03 a C• a 10 130000000 300 <br /> t (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM I 1 OTHER I I <br /> TYPE OF CONSTRUCTION 1 I BLOCK 1 I FRAME I I STEEL I 1 OTHER I I <br /> DESCRIPTION OF WORK 1= p r r c\ c0(Got S kt Ct o k t on cnr io(k- Sttt pk U KALLt' 4 o'tr Aooi -01 <br /> 140 zo IAN <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> j A <br /> BUILDING $ �/ .6'00 VALUATION OF TOTAL CONSTRUCTION <br /> EN ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I W.R.E.C. <br /> PLUMBING $ ( 0 4 <br /> 1 I , MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS • 1 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES ri NO <br /> Nif BUILDER - � � Y COMPANY ?j'' - go <br /> SIGNATURE V m A j -- REGISTERED I Y/ N E CURRENT I Y/ N I <br /> Address License # <br /> ( r <br /> ELECTRICIAN N \ / • t COMPANY ( /� - <br /> SIGNATURE Y' REGISTERED 1 Y / N _I FEE CURRENT I Y / N I <br /> Address -1 _ �� License # <br /> PLUMBER \\ // I' COMPANY L %., <br /> SIGNATURE V REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N 1 <br /> Address 1 License # F I <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 />