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813- 780 -0020 City of Zephyrhills Permit Application / <br /> Building Department / 0.53 <br /> I <br /> Date Rdceived ' - ....1 Q Phone Contact for Permitting 3.6,g 5 rI <br /> Owner's Name P C 1 1 Owner Phone Number 1 g-' L1 ° -g3 46 <br /> Owner's Address 5 1 5 gill J-1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 7 <br /> JOB ADDRESS 516,3 � <br /> j 1 I St LOT # <br /> SUBDIVISION PARCEL ID# L i - ° - °2 J -Ono- i q & OD ® I CO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR FR ADD /ALT 11 SIGN I 1 MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM 11 OTHER 1 I <br /> TYPE OF CONSTRUCTION [ I BLOCK /� � 1 I FRAME I I STEEL I I OTHER 1 I <br /> DESCRIPTION OF WORK k 0 2 ®Z / C) <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY ri W.R.E.C. <br /> I I PLUMBING $ <br /> F-' F MECHANICAL $ O ©C CC VALUATION OF MECHANICAL INSTALLATION <br /> I- 1 GAS 11 ROOFING I 1 SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1-INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT l Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT l Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N 1 <br /> Address '� Licennse # <br /> MECHANICAL / • ` COMPANY `) ( � 1 ' I S / k/ Co <br /> SIGNATURE o� 2 / 2 REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address 1 o` 3, LL Lf 361 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 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 /> 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 />