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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department k' 1 O L1 f 7 <br /> Date Received Phone Contact for Permittin • -- 1 <br /> Owner's Name ,0 e a„--3 --- Owner Phone Number g/3 V6? y 72 4 1 <br /> Owner's Address y 2 45,.. �__ Owner Phone Number <br /> Fee Simple Titleholder Name 5:44 Owner Phone Number <br /> Fee Simple Titleholder Address .J <br /> JOB ADDRESS j " Z 3 6 � � e — Z 7 0 • X y i C h . /( r>I / LOT # <br /> SUBDIVISION PARCEL ID# /1 2 2/ o/0 e200 0 %.4.11, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD /ALT (l SIGN I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1- COMM I-1 OTHER I 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I / FRAME 1 1 STEEL I OTHER ( I <br /> DESCRIPTION OF WORK jTa�j�(I,tr, A 6t 5 V " C2-) <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I 1 BUILDING <br /> J $ 796 (.-- VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES El NO <br /> BUILDER COMPANY <br /> SIGNATURE ,... REGISTERED Y / N FEE CUR `a <br /> Address v/J ense # <br /> ELECTRICIAN COMPANY illig._iMF UMIll <br /> SIGNATURE REGISTERED MM. CURRENT L©A►,rtl <br /> Address Oil ���I ,�� i <br /> PLUMBER minim ,. COMPANY _-NNIFIFAMP� <br /> SIGNATURE REGISTERED IN FEE CUR' ®i <br /> Address _.,�.Q- � ense # --' <br /> SIGNATURE <br /> MECHANICAL Erairaw COMPANY ,—,_M--- <br /> REGISTERED ®. - CURRE IIMBII <br /> Address 1,1I r - se # MIIINFIEMNII <br /> OTHER SIGNATURE Eli R OMP R Y / N FEE CURRENT Y / N EGIST <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />