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813 - 780 -0020 City of Zephyrhills Permit Application y 4' Fax -813- 780 -0021 <br /> Building Department =1 f 0 <br /> Date Received (0 1.p Phone Contact for Permitting #/3 - 7c -- SY <br /> ItllIlllIlIlIlt - g <br /> Owner's Name TD t � ' `e S A £)�! S r_ itk/ -f I// /C, Owner Phone Number O G (3 ' g 4. ? ', '7 <br /> Owner's Address 5 6 / 0 a. 4 fi v s 7, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 5/ d ell* 5 LOT # <br /> SUBDIVISION PARCEL ID# (a"--.-'''-'o'L ( - z?76 — " 130 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM 11 OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 I FRAME I 1 STEEL I 1 OTHER 1 I <br /> DESCRIPTION OF WORK 1r(5 T! el z_ e_ ` - 7 - 6/^A CA 5116'_.0 G <br /> BUILDING SIZE /4=' X / V SQ FOOTAGE / g0 HEIGHT <br /> L / <br /> BUILDING $ 3 770,c VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C, <br /> I I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> - <br /> IIIIMI <br /> 1 / 1 11. V,! e rites tC y C H :1)5- <br /> BUILDER w COMPANY ,rt ,47 /3 '.UC 7`J' <br /> SIGNATURE / / for 0 REGISTERED Y / N FEE CURRENT I Y / N I <br /> Address 3 /ICU < -11- ,6z-1,0„ 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y 1 N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # r <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y / N 1 <br /> Address I 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 />