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813 -780 -0020 City of Zephyrhills Permit Application / ++ Fax -813- 780 -0021 <br /> Building Department // 0 1 <br /> Date Received Phone Contact for Permittin ! ((l – <br /> Owner's Name feepI-4 farYu Lj Cocap Owner Phone Number .7 4 9 8 9 <br /> Owner's Address Po Bo Y. I D 5 g - zepl'j rv,t(\S t. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3g345 S-k LOT# <br /> SUBDIVISION PARCEL ID# 1 1 - c2- - al - Oct 0 - I S({ co - (Doc) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR 1 I COMM 1 1 OTHER I 1 <br /> TYPE OF CONSTRUCTION n BLOCK 1 1 FRAME n STEEL n OTHER I 1 <br /> DESCRIPTION OF WORK Pe p la c e Setoc'.o- I t ■' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY In W.R.E.C. <br /> I PLUMBING $ n <br /> pt. 000 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 I GAS I I ROOFING 1 I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ n No <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N 1 <br /> Address f , -- ( License \ # <br /> PLUMBER r '� l COMPANY 1 4 O O TC� <br /> SIGNATURE O REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address S 0 X- O - 1 License # C rG 14a (O 118 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N J FEE CURRENT I Y/ N 1 <br /> Address l License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I 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) 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 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 />