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813- 780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department ) 3 l y 31- 114,63 <br /> Date Received InfirM � 91 / if 4" Phone Contact for Permitti <br /> Owner's Name > I 4T 1 e..4 R o es Owner Phone Number s l 3 J O1) / ( i <br /> Owner's Address I 39 / Owner Phone Number <br /> Fee Simple Titleholder Name' Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 3 I/ e 9 9' Z erierf e dYc- S P- LOT # I <br /> SUBDIVISION Y /NGL U na() PARCEL ID#I / - / - OGG -an e &' — DO/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR n ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR I COMM n OTHER <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL OTHER <br /> DESCRIPTION OF WORK I Re f h c e w 1 w Pi w 5 t o �7 o O g 5 (Q tJ► + <br /> BUILDING SIZE 1 SQ FOOTAGE HEIGHT <br /> n BUILDING $ / y5' 5OO ' O� VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY Q W R.E.C. <br /> n PLUMBING '$ <br /> F MECHANICAL '$ VALUATION OF MECHANICAL INSTALLATION 1 YJ ■ f <br /> El GAS n ROOFING n SPECIALTY n OTHER 11� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nvES =NO <br /> BUILDER - 14" 01.41,s/d„,e,-/A 6,ST <br /> SIGNATURE 1 R OMP D 19,411 N NEBRASKA AVE #10 <br /> Address L' t) 193 <br /> ELECTRICIAN COMPANY I 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I YIN 1 <br /> Address I I License # I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <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 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) 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 /> H over $2500, a Notice of Commencement is required. (AIC 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 />