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813-780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department 7 <br /> Date Received / /0 • hone Contact for Permitting 0 _ I / -- AP <br /> tee____ ..._..__ .. <br /> Owner's Name // 0,1('VQ�, Jj9 f� - -7( Owner Phone Number <br /> Owner's Address <br /> tr < p t^U ,Vt, S , 3 1 �-1- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V Rej ti 1 Y LOT # <br /> SUBDIVISION Shad V /SST Pa (4. PARCEL ID# 1,./ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Fill ADD /ALT I I SIGN 1 I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1---. I 1 COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I I STEEL 1 1 OTHER 1 I <br /> DESCRIPTION OF WORK 1/' ) e 0 I q �O(, r dY <br /> 1 <br /> 1 <br /> BUILDING SIZE SQ FOOTAGE t HEIGHT <br /> BUILDING � <br /> i AOLla • 75 _ d VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE _ c. 5111 PROGRESS ENERGY I 1 W.R.E.C. <br /> f" ... t ....... „_________ / , <br /> `J <br /> I 1 PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L% <br /> 1 GAS 1 1 ROOFING 1 I SPECIALTY I 1 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES pi NO <br /> BUILDER COMPANY V ((� d'c71�/ <br /> SIGNATURE 3 " REGISTERED I Y/ N I FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N L 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 & • • - • • apptieetien; -no <br /> l C 1 If ov er $2uY�..500, a o f C <br /> tice oommencement is require (A/C upgrades over $5000) <br /> s. N <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 />