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813 - 780 -0020 City of Zephyrhills Permit Application i`xr tC J 22 Fax -813- 780 -0021 <br /> Building Department [ U <br /> Date Received -- f Q Phone Contact for Permitting 1/ 7cceS -- ► ,5 <br /> Owner's Name CAP L CAs - red dg/Qit(i S Wig (!e Owner Phone Number ` 4 . <br /> Owner's Address 5° 7 3 ✓ -4j S <br /> ! Owner Phone Number <br /> Fee Simple Titleholder Name J Owner Phone Number <br /> Fee Simple Titleholder Address 2 y� <br /> JOB ADDRESS 5 ' 9 3 d_ S ?_ LOT # <br /> SUBDIVISION PARCEL ID# it-2(i �'/- `D - /3 /do- - 1'e <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED IQ NEW CONSTR ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 1 1 COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION a BLOCK I I FRAME I I STEEL I I OTHER I I <br /> DESCRIPTION OF WORK �� r$ S-ta ""Ape_ 5 +6 <br /> BUILDING SIZE / x ° ?e 5 SQ FOOTAGE QC HEIGHT q j <br /> « <br /> BUILDING $p i VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL i AMP SERVICE 1 I PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO <br /> - <br /> BUILDER i SitipriS � • t COMPANY l�s l�+fEutA p�1h/ eS SIGNATURE 7� / / � — <br /> R EGISTERED I Y / N I FEE CURRENT 1 Y / N I <br /> Address 3 /gyp ` / O C=- P4-L ,e d„- b, <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I 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 I <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I 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 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 />