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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021 <br /> Building Department //- 10(f-- <br /> Date Received Phone Contact for Permitting b /3 7d z -- 33/9 <br /> IIIItIIIIIIIIIILLW <br /> Owner's Name ,‘ e r< / Pe I c 1^ YV von c Owner Phone Number <br /> Owner's Address 51 I g Gail 1,1u8 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 I Fl C a 1 l Blvd 2e. f k'1 h :11s s /' 1- LOT # <br /> SUBDIVISION PARCEL ID# I i - 2 1 0010 -0 7c'OO - Do I 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I J NEW CONSTR I ADD /ALT I I SIGN 1 1 MOVE I I DEMOLISH <br /> 1 INSTALL REPAIR <br /> PROPOSED USE I I SFR I 1 COMM n OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 FRAME 1 1 STEEL 1 1 OTHER <br /> DESCRIPTION OF WORK =,15 t1 1=x1, KSl Fv4,n for k: a. rn - (pet )4 Lvsnc)a,, u':tk f" "r') <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 11 GAS 1 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES [] NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY /A>�%/r E C <br /> /ec <br /> SIGNATURE �rr v REGISTERED I Y/ N I FEE CURRENT 10/ N <br /> Address 39',/ e -e 4d 'i. fl�.L1 7.1 335'/0 1 License # I &C - dew 2 - 1 k <br /> 4/ <br /> J <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <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 (PIot/Survey /Footage) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />