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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department ,_?(77 7, <br /> Date Received - 2.9 - 1 0 Phone Contact for Permitting 74- a3 ! -- 0033 #' 10 <br /> Owner's Name Ni GlL.. ZYCIWN 14y,__ Owner Phone Number <br /> Owner's Address q IS MUCHAtalUIU,E Gt 2 Owner Phone Number <br /> Fee Simple Titleholder Name NI A Owner Phone Number <br /> Fee Simple Titleholder Address s M <br /> JOB ADDRESS ` -C1 it •' i ANfiI) i Cl S' C1n LOT # <br /> SUBDIVISION (IL5f' '' I-1 1 C c� S PARCEL ID# g`� 0 " \© i. o 00 , 3') 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR I I ADD /ALT I I SIGN I I MOVE I I DEMOLISH <br /> INSTALL I REPAIR <br /> PROPOSED USE I 1 SFR 1 1 COMM 11 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL 1 1 OTHER I <br /> DESCRIPTION OF WORK -7 t N D 0 S / St /)/ , I,(ASS Go ad. s, t!o L s l LT <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ �]_ r )O VALUATION OF TOTAL CONSTRUCTION <br /> '( <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. AD. L/7. <br /> I 1 PLUMBING $ J <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I 1 GAS 1 1 ROOFING 1 1 SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> 1► WOOL- ill <br /> 3111101111, _ .1 � S COMPAN ` SIGNATURE ,= ��, �. - ` REGISTERED MIMI FEE CURRENT Y / N <br /> 4 l <br /> Address 54.33 M � �.- icense# C. t. 0 0 (1I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I F - - : C T '/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I- I <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 1 FEE CURRENT I Y/ N 1 <br /> Address License # F <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 />