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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department I63 3 v J Gj y 7- gI <br /> Date Received 32 U —/0 Phone Contact for Permitting 4 7 /3 .....) � ✓ -- <br /> Owner's Name '\(.Kf 1 U `- U 11 Owner Phone Number gl� 7i0 <br /> Owner's Address 39 $3 $ ' (' - Owner Phone Number <br /> Fee Simple Titleholder Name N, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> 653 j1 I •4" VC ' — 1 /` I S e J S LOT # <br /> SUBDIVISION PARCEL ID# O °�DlJ3D v�UU l Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN 1 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM n OTHER 1 <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME n STEEL n OTHER I <br /> DESCRIPTION OF WORK C;/1CLeS0 e sc ireeA, p o cc- K. • j j (Jx j,�QO /Iti—� <br /> BUILDING SIZE SQ FOOTAGE 0 HEIGHT e F4 <br /> I BUILDING <br /> Q ® VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES FIN() <br /> BUILDER ,��� ' � 40 d COMPANY (�) At_ 1(‘ SIGNATURE %..- `� <br /> / REGISTERED I Y/ N � FEE CURRENT I Y/ N I <br /> Address Jf License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N _1 FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address , License # <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 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 />