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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> ` Building Department <br /> Date Received // + / Phone Contact for Permitting -- <br /> Owner's Name t...o v 1 t1 it 1 V ,„t Tr ✓S 1 Owner Phone Number <br /> Owner's Address P 0 Bc X Z 3(0 C- 1 bL , •J /J V 1300 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number , <br /> Fee Simple Titleholder Address i <br /> JOB ADDRESS ` ° L t - 7 S 2- gyp-- - v k, t (1 S C t LOT # <br /> SUBDIVISION PARCEL ID# O 2„ - L(a - 21- 01 friO -Go ail c — o L9 D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I I STEEL I 1 OTHER I I <br /> DESCRIPTION OF WORK P-C'. Y 6-0 , T w / c., 3 iG, t/ 4-c- 1 t M by I 1 v & t St <br /> BUILDING SIZE SQ FOOTAGE / D S HEIGHT <br /> BUILDING $ , 6 .4/ v` 0 d VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ `r 7 AMP SERVICE I I PROGRESS ENERGY 1 I. W.R.E.0 <br /> PLUMBING $ , � � � 1 <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION( <br /> ff \, <br /> I GAS ill ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> - <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # r <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # II. <br /> OTHER SIGNATURE �� 41 / COMPANY - N QCe FEE CI CURRENT N I, <br /> REGISTERED Y / N I FEE CURRENT I Y/ N I <br /> Address <br /> ( I 7 <br /> :PO Q OX � 41 J A. ti �h h � / 7 3�' b License # � I � C U r7 G 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 /> 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 />