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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> 4107 l 33 / Date Received —/ (� Phone Contact for Permitting - 1 <br /> Owners Name OM C n(�Oh�tAGS ` y �r Owner Phone Number %II? ' 7n- L i C t� <br /> Owner L,Q <br /> Owner's Address `Zs 1i' Sk Z► 1 1 . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 462 3 F7 i' 5+ Z y f k•11> EL 3361_a_ LOT # 7 <br /> SUBDIVISION MOOrGs � '' PPARCELID# ILA 2-1 M[� <br /> � ^ 00lo- w1Q0- WLQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN 1 1 MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR n COMM n OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK /l n FRAME I STEEL JJ OTHER <br /> DESCRIPTION OF WORK ke Pace- Garay LbO� <br /> BUILDING SIZE SQ FOOTAGE I HEIGHT <br /> .(. BUILDING $ /2_007 0 00 VALUATION OF TOTAL CONSTRUCTION <br /> In ELECTRICAL $ AMP SERVICE [] PROGRESS ENERGY Q W.R.E.C. <br /> n PLUMBING $ <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ET GAS I ROOFING n SPECIALTY n OTHER //- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES I ENO , ` r t f <br /> CHRA • <br /> SIGNATURE r�"�� ���� X*\ fl� CA NY L(�l�`° \ �G \L�( A J (V N <br /> 362A SO �� <br /> Address k YGrk C(,4erLQe o32FAt I License# 1 CGL l�08 7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # l <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />