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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name C y fr 4 i 61 I V k" le 1, Owner Phone Number <br /> Owner's Address . 1€"( Cyr t n 1kt vst eq" Vv C Ft 3:15/ iwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J <br /> JOB ADDRESS 5 d 9 ' ✓ A Z k t / 1 S ( J 5s LOT # <br /> SUBDIVISION PARCEL ID# / '--{ – - 2. --Co 1 o --0Z9 O CY - C.0 1 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT ( 1 SIGN 1 MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 1] OTHER 1 1 <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME n STEEL 1 1 OTHER 1 <br /> DESCRIPTION OF WORK G t-v J l 7 5? i.,4/ / di �S y.t 4 , 4/ 3 b <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ ) ( (7 0 D VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ '�( AMP SERVICE 1 1 PROGRESS ENERGY 1 W.R.E.C. <br /> PLUMBING $ 5 <br /> fad <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 01 ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES 1 1NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address I License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER - / fA � '�, / COMPANY �ta7 e( - <br /> let h Y'�v <br /> SIGNATURE ' 19 v v"� REGISTERED Y/ N 1 FEE CURRENT 1 / N 1 <br /> Address ( P a Q3 b A l (rl d i S k 'ti h c( 35c 0 License # I CC(U r5 <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 />