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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department 4 1 !rtll <br /> Date Received 4 0 Phone Contact for Permitting ,f 7fe -- Sal V <br /> Owner's Name 4J f ' 14 a-.4./.11 0 Owner Phone Number c/ 7 � - &fI S <br /> Owner's Address 3 9,Ly3 6 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 9 a-V3 G M 4 ZeA4- 1{Al/s' F/ 33,51 e2 LOT # // <br /> SUBDIVISION 4 'elj /"` PARCEL ID# /a - 6 2 4 - DV- Od» — DO )- d` <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER 1 I <br /> Cl� <br /> DESCRIPTION OF WORK fry 9 24c / Off <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ DZ 9'f/ D62_ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ / AMP SERVICE I 1 PROGRESS ENERGY pi W.R.E.C. <br /> I I PLUMBING $ PASCO PERMIT SERVICE <br /> (813) 788.6314 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION FA)( 1-866.824. <br /> I GAS 1 1 ROOFING 1 1 SPECIALTY 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES I <br /> Ili <br /> BUILDER r /J (��� y COMPANY �(J� ( J � �� _ Lite SIGNATURE f� -`�G ��• � `✓ REGISTERED � Y / N . I FEE CURRENT I Y / N 1 <br /> Address 4 T 4 r oC/ k UCf "a( 2-e4 061% c/3 3,1 3 0-- License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address , License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N <br /> Address 1 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 />