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813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Rbceived -- <br /> -� Phone Contact for Permitting <br /> Owner's Name I tJ5/j/1 ll X0,�vf J Owner Phone Number I 34'3- 7/ gy 1 <br /> ,, <br /> Owner's Address 3 7 7/ , 7ea4 •∎/,9t'J Ix"? <br /> Owner Phone Number I F/3-• es'ye- C .2i7 0 <br /> Fee Simple Titleholder Name /Y 7/41 Owner Phone Number I <br /> Fee Simple Titleholder Address /lr // / / <br /> JOB ADDRESS 397 y 1 /rl�'°.y?..�,x. / L1'i�/ Ze.t p LOT # Imo?- I <br /> SUBDIVISION •//2 zS '4j PARCEL ID# f3 26" 2 / G'y yO c-- <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 1 SFR I I COMM I OTHER 1 <br /> TYPE OF CONSTRUCTION n BLOCK I FRAME n STEEL I OTHER I <br /> 2 <br /> DESCRIPTION OF WORK 1l -3 <br /> BUILDING SIZE I I SQ FOOTAGE HEIGHT <br /> I BUILDING $ 7 9a, $ VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY n W. R. E.C. <br /> I PLUMBING $ <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I E1NO <br /> r ' <br /> BUILDER / COMPANY 1 PO / ✓�G <br /> SIGNATURE / �j, REGISTERED Y / N FEE CURREN I Y / N <br /> Address IN4 Pee? /' c.44j 2P," / � , %1�4 License# � <br /> ELECTRICIAN � COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I I License # 1 <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED 1 Y / N <br /> FEE CURRENT 1 Y / N <br /> Address License # <br /> 1 <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, Storrnwater 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 /> i <br /> Directions: e <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 />