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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> `/ Jl� Phone Contact for Pe Building Department <br /> I J' <br /> Date Received 1 g 7 1 P -- 1 o COO <br /> r . 111 L . <br /> Owner's Name G.e 1e4'_ /�/i/Q e-/C/1 Owner Phone Number <br /> Owner's Address 1 r/ Z 3 Q ,4z/, Ze iiyi it R Owner Phone Number <br /> Fee Simple Titleholder Name ! Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 30 �j 23 (/ G Z /b pt! 33 2 .- LOT# I //, / / <br /> SUBDIVISION PARCEL ID# // ' 2 G -A) -001 "'O y7d0 - Zvi/° <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN • n MOVE O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Eiej SFR n COMM O OTHER I I <br /> TYPE OF CONSTRUCTION I5RL <br /> y� BLOCK / n / FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK I� /tr. /�e�z c �/L /Ilbvt. (1..."2-V41-"-y • <br /> y< 1 <br /> BUILDING SIZE I SQ FOOTAGE / HEIGHT <br /> n BUILDING $ VALUATION OF TOTAL CONSTRUCTION -6,' v 4 9 Al 6 <br /> ® , �"/ -.i <br /> ELECTRICAL $ AMP SERVICE �� PROGRESS ENERGY / 1 R.E.C. <br /> i <br /> n PLUMBING $ / <br /> \\.) 6- j#4 04 <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 �\ 1 <br /> n GAS [� ROOFING n SPECIALTY n OTHER 1 • # .• <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES O VVV <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address ( License* 1 / feeht.icp-i <br /> ELECTRICIAN "(Z COMPANY &liege �\.oc/r 4ry GQ-j «�C <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT / N I <br /> Addr ess I . License# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y I N I FEE cuRRENT I Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY l <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I l License# I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I I <br /> License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fors; R -O -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plus, 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 Forts. R -O-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater 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 />