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813-780 -0020 City of Zephyrhills Permit Application <br /> Fax - 813 - 780 -0021 <br /> Budding Department <br /> R * <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name \ -\"`�'- • �� '4\ c,vh,t\\ �U r ��(- Owner Phone Number <br /> I 38esu \ `5� �--- 1( 1 + I Owner Phone Number I <br /> Owner's Address <br /> Fee Simple Titleholder Namel Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 1 - ) -y \\ St • Z' °\'\ \S I LOT # 1 <br /> SUBDIVISION <br /> ( PARCEL ID #I 1' - ato -a1 - °O 1 b 1 \1Ob <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR 1/( ADD /ALT n SIGN n MOVE n DEMOLISH <br /> I I INSTALL REPAIR <br /> PROPOSED USE n SFR 1 I COMM n OTHER I 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME n STEEL n OTHER I I <br /> I DESCRIPTION OF WORK l`CP��2 �2C ���4 G < & U 2 ( C 4- /��' Set O /e %YfC�6/1 f�g e / I <br /> BUILDING SIZE b tl IV SQ FOOTAGE I' ?s I HEIGHT I/ 5/ 6 2 Y I <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ / S d p — AMP SERVICE rfrr PROGRESS ENERGY h W.R.E.C. <br /> /6 6 <br /> ( I PLUMBING $ (J������ <br /> VALUATION OF MECHANICAL INSTALLATION ti � 0 CV MECHANICAL $ <br /> I 1 GAS 1 1 ROOFING I SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES nNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # 1 <br /> ELECTRICIAN . COMPANY P2 /9/L 7, � C - 7 / C .27%-t) C <br /> SIGNATURE 2,4 REGISTERED 1(Y) N 1 FEE CURRENT 1 (Y)/ N 1 <br /> Address I 1 License # I EC • 43 ° O / 3 I 3 <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # I I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT l Y/ N 1 <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I 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 />