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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department s /0351 <br /> Date Received Phone Contact for Permitting 5I.3 7(0 -- (3 2 <br /> Owner's Name Do )1 v a . k(.pk use. Owner Phone Number 31,3- 7 - yd l u <br /> Owner's Address /1 7 /6 f k _57 2E,Ay t":"2- j '/&Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS l.s� / 1 / 1.`i LOT # LO <br /> SUBDIVISION PZi /HI PARCEL ID# oaZ 26, A (U 1 5O (XZ O0 (ma 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR b ADD /ALT I 1 SIGN MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM n OTHER [ <br /> TYPE OF CONSTRUCTION I I BLOCK 1 I FRAME I I STEEL [] OTHER <br /> DESCRIPTION OF WORK GvIGv /"F &IA Garay- laoo(- /6 7. 5, rC~c Z(' /OV 2 0 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT [ <br /> BUILDING $ �l s X79 VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 1NO <br /> 1/ COMPANY / S r , Gm avr SC / (.1 r <C . <br /> BUILDER FEE CURRENT VY.( N <br /> SIGNATURE REGISTERED <br /> Address "tr// oO $7>t/ c /Cedozler, /-L 33760 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N ` FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED � Y/ N ] FEE CURRENT 1 Y/ N <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 /> 11111111111111111111111111111111111111 <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 />