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813 -780 -0020 City of Zephyrhills Permit Application • - rax-ts"- tau -UUCI <br /> • Building Department ` c & <br /> ( t <br /> Date Received Phone Contact for Permitting t gZ -- oci <br /> Owner's Name h go.. n'2OI4c P [ <br /> Fa, T C OY ir Owner Phone Number Sl a` t" r, . <br /> � c Owner Phone Number <br /> I <br /> Owner's Address • <br /> Fee Simple Titleholder Namel I Owner Phone Number I I <br /> Fee Simple Titleholder Address I I <br /> P LOT # J <br /> JOB ADDRESS I 5 ' CL ' .- I <br /> SUBDIVISION <br /> 7l KS f 1. s f ) PARCEL ID #I (Z -z4 Ci-W) - oczzci -07S I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 1 MOVE 1 1 DEMOLISH <br /> _ INSTALL REPAIR P_zar <br /> PROPOSED USE <br /> SFR I I COMM I 1 OTHER <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME I I STEEL I 1 OTHER I <br /> DESCRIPTION OF WORK Ci <br /> •1 -fc. o L [ %k Inc / S <br /> BUILDING SIZE SQ FOOTAGE 3 © 00 HEIGHT <br /> BUILDING $ p_.. [ 6 © VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C <br /> I PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I L ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES 1 tNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L Y/ N I FEE CURRENT I Y/ N I <br /> Address 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 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License <br /> THER ` COMPANY 00(1_ V`-�t \✓lG� I` �`-' <br /> S TUR REGISTERED I . / N I FEE CURRENT I Y/ N I <br /> Address > F j c 1 > SK. - k t ( !%'% 3 3 1 License # CSC– i 3 S 5 QS <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 /> 11111I11111111111111 <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 />