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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department <br /> Date Received S -P 7 - f l b q <br /> O Phone Contact for Permitting , r -- <br /> ......037 1 � <br /> Owner's Name 0 Li) C h M 1 , T S"19 �C Owner Phone Number f ( 3 - 3 G 7 ; 3 �, 3� <br /> Owner's Address 3? t4 0 1 `a PeGA / 0 b 1 . ( Owner Phone Number <br /> Fee Simple Titleholder Name 00 C J 1 1.L u vi 1 1 J Wes' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 370 CD v e L o D r. 2 ktef 0 i ,1-6. 335 <br /> JOB ADDRESS 3 7 `1 ci O Dr, LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I 1 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR 1 1 COMM 1 I OTHER 1 <br /> TYPE OF CONSTRUCTION I2f I BLOCK I FRAME E I I STEEL I I I I <br /> DESCRIPTION OF WORK Tie- ' Wev2 l" ct-fy p .T-,t-> EPaMes <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ AMP SERVICE 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> [PLUMBING $ a , / 0 '' <br /> F <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS I 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address Qom, License # <br /> PLUMBER COMPANY ��' 7e-A4 4 <br /> SIGNATURE REGISTERED I Y N I FEE CURREN I Y / N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURREN I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 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 /> IIIIIIIIIIIIIIIIIIIIIIIIIillllllllilltllllllllllilllllllllllllllllllllfi lllltlllllllllllltllllllllllllilllillltllltlllllllllllltlllillllllll <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is requ (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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways.. needs ROW <br />