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813- 780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department f4-'1 <br /> Date Received / � ` 0 Phone Contact for Permitting / I -- 0033 eid /0 <br /> Owner's Name 8 - e V W Owner Phone Number • <br /> Owner's Address Wag I? a r Tai. Zh1 lfS 335 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS t 1 I P7 'g & Gel LOT # 1 '4' <br /> SUBDIVISION Zephyr I I 1 S PAR CEL ID# Dal d.Wai lo'q pooml_ �'o <br /> y 11 (O <br /> (OBTAINED FROM ROPERTY TMC NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL I I OTHER I <br /> DESCRIPTION OF WORK eerr10YY `I kaplace 10 wLMOU1S site -be at . <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ■■.- ... ■. ■■ ■ <br /> BUILDING $ / 1 9 V 0n VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ vI � AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 GAS 1 1 ROOFING I I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> BUILDER cre� �j/ / �/� t • ` COMPANY 1 O & + 5 <br /> SIGNATURE ,�/ / REGISTERED 1 Y/ N FEE CURRENT I Y/ N <br /> Address 5133 f tote cu (!Jw £ 3311o0 I License # ICkiC 0101 11 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/14 I 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 1 FEE CURRENT I YIN I <br /> Address 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 />