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813 -780 -0020 City of Zephyrhills Permit Application '/ Fax -813 -780 -0021 <br /> j Building Department f 16350 <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name Joscp)- J& 0;4 k .9 )Rk- Owner Phone Number 5/3-75 7 70 2-5 <br /> Owner's Address 39102/9 Ave Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �/ <br /> JOB ADDRESS 3907 9 LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN 1 I MOVE n DEMOLISH <br /> ) INSTALL REPAIR <br /> PROPOSED USE © SFR I I COMM n OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK �/ I I FRAME n STEEL n OTHER I <br /> G <br /> DESCRIPTION OF WORK .) If C -O O < / © <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> j BUILDING $ act VALUATION OF TOTAL CONSTRUCTION <br /> 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I W.R.E.C. <br /> I I PLUMBING $ v e <br /> / (� P IL1�fi <br /> eda <br /> I MECH $ VALUATION OF MECHANICAL INSTALLATION Ig <br /> GAS I I ROOFING I I SPECIALTY I] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES I INO <br /> BUILDER " • <br /> i .46„ C OMPANY <br /> y� <br /> SIGNATURE �: f /� REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address I License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/ N I <br /> Address License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N _1 FEE CURRENT I Y/ N I <br /> Address License # I <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 /> FiII 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 />