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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 798 1/4 '061 <br /> Date Received o - Phone Contact for Permitt / 377 -- 5'J <br /> Owner's Name 6 (fl % 4 TUST —CS-0 Owner Phone Number <br /> Owner's Address ` 6v /7 efixt Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Te Z l & &!/ //` <br /> /e//' LOT # <br /> SUBDIVISION PARCEL ID# / 7 -- - 2- - 00/ 0 -0/ 70 - 00% <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR COMM I 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I ° I BLOCK [Vi <br /> FRAME I I STEEL I 1 OTHER I I <br /> DESCRIPTION OF WORK '✓ _.�!,j4 /L ;0/z_ ��-L 4 - <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I ' BUILDING $ 5400 , c U VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY 1 1 WW.R.E.C. <br /> PLUMBING .6 14 ' ` ,,��'�'6e1 <br /> $ ' <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALIAl19td' /'' <br /> I I GAS I I ROOFING 1 I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO / <br /> 1 / r <br /> � COMPANY f i G.� f}C r� , <br /> BUILDER � `- � j � ` � f <br /> SIGNATU �� t REGISTERED Y / N / � FEE CURRENT I Of/ IY ( I <br /> � ` -7 G� / 3.55-512.. License # IQ V <br /> 4.� Z..J t#►` j7 <br /> Add7�ss�� ��GQ / ���i,� /,.� 4 �j / s ('`- <br /> ELECTRICIAN �.� COMPANY f` 7 C' '( Z(' - <br /> SIGNATURE • G-`t REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 3) (�( c (. 5ic/c License # C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # r I <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 # F <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 /> r <br />