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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> 410531 <br /> Date Received �- 2 /(!� Phone Contact for Permitting <br /> 1/3 7f'' __ S3/ r <br /> Owner's Name � /C a-T v � ' Owner Phone Number <br /> Owner's Address 3 ?s-17 y aidea-' e Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /� Q �,,� <br /> JOB ADDRESS 3 5 Y f� /e' i 1 La_me Z-golir/L`h F ' LOT # 0 <br /> SUBDIVISION A ve,rA 1' LI ' PARCEL ID# a'y_ -di ^iodo AVM O& <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED j NEW CONSTR I I ADD /ALT I I SIGN I I MOVE 11 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION I I 1 BLOCK I I FRAME 11 STEEL 1 1 OTHER I I <br /> DESCRIPTION OF WORK Cfc l o0/7L /- (fAe° <br /> BUILDING SIZE 13 , X 3 / I SQ FOOTAGE 7fJ 9 HEIGHT <br /> WM BUILDING $ 7. 62-2o , 4' VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ PASCO PERMIT SERVICE <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (813) 788 -5314 <br /> FAX 1- 866 -824 -7894 <br /> 1 I GAS 1 1 ROOFING I 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> BUILDER t"M 4/444 * Z kc- . <br /> � �( ` COMPANY <br /> SIGNATURE �t.J REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address A 7 J , le A5 I <br /> (X � <br /> i � . $30t) License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # r <br /> MECHANICAL COMPANY <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 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 /> 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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />