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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 Permittin e ( 5 3 <br /> Owner's Name Ravi ggDcx 11 rjA 1 ,7'5 - Owner Phone Number g/3 ,26 7 — ye% S;Z <br /> Owner's Address 397 5 Cu Z., A-, Z-4`CLS Owner Phone Number g -7F1 - 508 <br /> Fee Simple Titleholder Name A pp F. �Apn�~r 6Nt) Owner Phone Number L� 13 - 786 " ? ?3 C) <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 77 ' S C}4p f,-t Pon o , FL. ?`3 S `j ,, Z LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN 1 n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR 1 COMM I 1 OTHER 1 <br /> TYPE OF CONSTRUCTION I f BLOCK n FRAME I 1 STEEL n I <br /> DESCRIPTION OF WORK O i 4 OAT t .)S O h+L `( I' , p S ?o ftma c, . <br /> BUILDING SIZE SEA- 4 4 i - SQ FOOTAGE io SL HEIGHT l 8 r <br /> �` <br /> (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY El W.R.E.C. <br /> (PLUMBING $ <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (GAS 1 I ROOFING I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER / COMPANY 1 JT)/vrc Co �� s r 744 -c r.cu <br /> SIGNATURE 11 1 � C- REGISTERED Y / N F EE CURREN Y / N <br /> � � � DN I 1 1 <br /> Address .5 7t78KT7 COE t. K VI, . ��p� -C Fl. 33-CCG License# C,gc 0J TS <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 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 $7500) <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 if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />