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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department <br /> • <br /> Date Received <br /> Phone Contact for Permittin . -- <br /> Owner's Name MardllIMEIt , Owner Phone Number 0 ~52 <br /> u s <br /> Owner's Address W I L i 1 - h AV f, 744 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I . 3 9 ) ,,1.41,1 AV Zieph Kt I I s - 35 4 2 LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE re, SFR 1 I COMM n OTHER I <br /> TYPE OF CONSTRUCTION II BLOCK 1 I FRAME I 1 STEEL n OTHER I <br /> DESCRIPTION OF WORK h W' 1 N Patiacy s s4 m " I o y -� <br /> _tit r � i 1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> CTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> I I PLUMBING $ <br /> 0 :: MECHANICAL $ (;‘,.^ . VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS 11 ROOFING 1 I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES nNo <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N _I FEE CURRENT I Y 1 N I <br /> Address <br /> 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> MECHANICAL COMPANY II f �� <br /> SIGNATURE l? T r I l <br /> REGISTERED / N FEE URRENT I t I Y ;N I <br /> Address V r 1 AO V C *7 ^ p / J 339/4/1 License # <br /> 1 <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED I Y / N I FEE CURRENT I Y / N I <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />