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813 - 780 -0020 City of Zephyrhills Permit Application % g Fax -813- 780 -0021 <br /> Building Department ( v /f <br /> . tY <br /> Date Received ' r 3 ` S <br /> '� 0 Phone Contact for Permitting O O <br /> Owner's Name k L VA ^ O d ell r- r S71 WE C4 Ere r/4 Owner Phone Number T..5" 7 -3-2-57 Owner's Address . �` �' " 5 J / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5-C206 5 S 7 ' 2 <br /> "___! LOT # <br /> SUBDIVISION PARCEL ID# 1I - /* — 30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM I I OTHER 1 I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME 1 1 STEEL I � OTHER I I <br /> DESCRIPTION OF WORK / ' S 4 Porr /411 / e s// 1/ <br /> BUILDING SIZE q x 1R SQ FOOTAGE ' 4 HEIGHT 10 <br /> EK BUILDING $ , � crO, VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C, <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES pi <br /> i <br /> NV <br /> BUILDER ���""[[[ ///��` CevkVI‘ COMPANY CoAfcoL t ,C�`� /- j -rI1�,OL'Sf7'/ S <br /> SIGNATURE REGISTERED I ry) N I FEE CURRENT N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y / N I <br /> Address License # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <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 /> 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 />