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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813 -780 -0021 <br /> Building Department ../055(i1 <br /> Date Received Phone Contact for Permitting 33`- .� ~ -- O33 coq <br /> Owner's Name L) (tT kJ rL ` 1 Q J Owner Phone Number <br /> Owner's Address J SA1 .)M, `k. Z) 1` Owner Phone Number <br /> Fee Simple Titleholder Name N A Owner Phone Number <br /> Fee Simple Titleholder Address e. {'� <br /> JOB ADDRESS v c C(O vte N` A D a- LOT # C i <br /> SUBDIVISION L 1-1 A.7 $ i4' PARCEL ID# ia a63.k 00 M61.20 CoCCO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR Mr, ADD /ALT SIGN I I MOVE 1 1 DEMOLISH <br /> 1C INSTALL il>✓r REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION [ ^ Z_ BLOCK I I FRAME 1 1 STEEL I 1 OTHER I I <br /> So DESCRIPTION OF WORK oLA A- � <br /> R f\ L90 r(;E01-9, t L') <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ 3--1 b/ VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C.IY C <br /> I GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER <br /> a /J C. L l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO P <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y N 1 <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y I N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address �0 License # <br /> OTHER a p■ r � ,/ 4 COMPANY <br /> SIGNATURE F V 50 (_ • � / / REGISTERED 10/ N I FEE CURRENT 1 Y / N I <br /> Address 5•33 AC —L - e License # F6 6 S <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 (Plot/Survey /Footage) <br /> Driveways - Not over Counter if on public roadways..needs ROW <br />