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813- 780 -0020 City of Zephyrhills Permit Application <br /> log Fax -813- 780 -0021 <br /> Building Department • C� ll OVA / <br /> Date Received I Phone Contact for Permitting v I/ 3 7 d O� %7 rp <br /> D . n <br /> Owners Name C r & 4 (71,1 ` t r ( � W0A L ` j '7 LOY% I I� Q/ Owner Phone Number o L3 l daz <br /> Owners Address 38I3 � 1 C k ' 5 C 2 p h t t 1s F i� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address r� <br /> JOB ADDRESS .5Q a 0 1 I �} r h I ) <br /> I `j, F -S LOT # I /� r <br /> SUBDIVISION PARCEL ID#I s =41.0 CYO — 1 cG �i I "I V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I I COMM Q OTHER <br /> TYPE OF CONSTRUCTION n BLOCK I I FRAME I= STEEL n OTHER I <br /> DESCRIPTION OF WORK 1 \`Qp C'uu l en +rct.I IN- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY I W.R.E.C. <br /> n PLUMBING $ <br /> n MECHANICAL $ 3 C3 0 0 0 Li VALUATION OF MECHANICAL INSTALLATION <br /> F GAS n ROOFING In SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES nNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURRENT 1 Y/ N I <br /> Address 1 License # II <br /> C <br /> COMPANY AD ' S / I t__, <br /> - REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N I <br /> Address 1 License# IR mFoO i q G 7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <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 /> 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 Attomey (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 /> 50, 00 <br />