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813 - 780 -0020 City of Zephyrhills Permit Application �0,,,,� -813 780 -0021 <br /> Building Department \' ��"-'► �' J I <br /> Date Received 0 //� / <br /> �` 2 ' � Phone Contact for Permitti % I CJ 9 -- X33 �� <br /> i <br /> • <br /> Owner's Name 2 �- P Y� `- w �� l-L- ( Owner Phone Number 2 y 0 0,3 <br /> Owner's Address 2 2_20 St'( S f S SA- 3 27! I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �{- 1 JOB ADDRESS (p 8 3 66-d �''�� ' " 1 Q 5 LOT # <br /> SUBDIVISION nits/ 0C 2 c oL L i ti PARCEL ID# " �o ^ 00) 0 - c) fl Z - o 0/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 I 1 I DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE ( SFR I I COMM I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK [ I FRAME I I STEEL I I 1 <br /> rn� t ll <br /> DESCRIPTION OF WORK � � I� � L <br /> 1 `- k4izt/s ��! 1 2,4(i rr;. V a CCE /7 4 •"\-) <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> (BUILDING $ 3 0 J VALUATION OF TOTAL CONSTRUCTION <br /> (ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. <br /> PLUMBING $ <br /> I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO ` ' Q <br /> (GAS 1 1 ROOFING n SPECIALTY F <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO <br /> BUILDER (� COMPANY � u { , 2 °• eL 'c` <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN 1 Y / N 1 <br /> Address �'/ 9 » / OArta'' /1 "t-' 011d .33 3'a 7 License # L ^ G "t° Z / S3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 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 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 />