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813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 1' % nMe <br /> Date Received ; (2 _ f o Phone Contact for Permitting a °`��y/ <br /> 111111111111111 / - �f ' l <br /> Owner's Name Ir n a ,4,1 4 ); 111 4 I w;J]'•/ J 114610e f/� v,.. 4ck Owner Phone Number / /1 SS '7 -Jo <br /> Owner's Address 21 /4 7/ A4-e Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J )'U 7 64// A`€ LOT # <br /> SUBDIVISION PARCEL ID# PA- 2( - 2/ - 0000 - p o 2 uo - 00 00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I] MOVE I] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR 1 I COMM I OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK Iu I FRAME 1 1 STEEL 1 I OTHER I I <br /> DESCRIPTION OF WORK I t Jo u c f /y.f....f - O J.4'4 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 9s'C VALUATION OF TOTAL CONSTRUCTION <br /> I 1 ELECTRICAL $ / AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> 1 1 PLUMBING $ L7) 4/49e--. <br /> l , <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 I GAS 1 1 ROOFING 1 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO <br /> V <br /> BUILDER t COMPANY /11;41.,,,„ 4 -// i?J� Apy <br /> SIGNATURE REGISTERED I (/ N I FEE CURRENT I Y/ N I <br /> Address h 77/ c 4, //(ell 1 License # /CCIj// 415 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address I License # <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <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 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 />