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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Departmentt / / cd � / 2- (/ <br /> Date Received 7- 5-- to Phone Contact for Permitting eF/3 -- 3 <br /> Owner's Name /e, e r '4:- C/5 Owner Phone Number <br /> Owner's Address 3 ! ' 7 7 ( h4 // dU/D Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address // ^^ �'' <br /> JOB ADDRESS 3 Y �D 4 /9 C i // C_l.C/� LOT # <br /> _ <br /> SUBDIVISION 12 / y/1C D� PARCEL ID# a a� 01/ - C)t� <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 <br /> PROPOSED USE I I SFR 1 1 COMM 1 1 OTHER 1 I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I 1 FRAME 1 I STEEL 171 OTHER I de- 1.4C/14'/Y/ <br /> DESCRIPTION OF WORK S &ten /'()()J v /l ._ ��-- CG.�i�JOrf <br /> BUILDING SIZE Iy y d9941 SQ FOOTAGE ? 7 HEIGHT <br /> w!4 BUILDING $ /7 ox 1 VALUATION OF TOTAL CONSTRUCTION <br /> WI 0 ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n W.R.E.C. <br /> I 1 PLUMBING $ PASCO PERMIT SERVICE <br /> (813) 788 -5314 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION FAX 1.866-824 -7894 <br /> I I GAS 1 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES QNO y ` ti4 j iii <br /> BUILDER �` COMPANY /6 ---4/ f /. • --/—Ac ' <br /> SIGNATURE L� Gt� /Y a l ✓ �`�� REGISTERED I Y/ N I FEE CURRENT 1 Y / N I <br /> Address . <br /> ELECTRICIAN AO' G � (y /D J • ,, i Ir _ <br /> SIGNATURE �'�— C .-- r <br /> > /J ` �i. COMPANY R 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address / '/ 2 7 /d / J • ad 6:4 il <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # F I <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 />