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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received , Phone Contact for Permittin a -- <br /> Owner's Name .10111711 ' <br /> (� w,_ Owner Phone Number 3 v t " <br /> Owner's Address 3 2 " \ 0 l Co 0 ( Go rj ,,,, A pi_ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 4 C r( (»7 PL. LOT # 003 0 <br /> SUBDIVISION (. 1' PARCEL ID# 0 ?_ Z^ ( OZ.( 8 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN In 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR In COMM OTHER 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK n ( FRAME I 1 STEEL n <br /> DESCRIPTION OF WORK -St 0, k.� ' rCLV . RQ f .2i�J <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1 (BUILDING $ �p \% �°✓" / VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ (S AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. <br /> PLUMBING $ (. <br /> 3Z ySl9 <br /> 1 IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( r <br /> 1 (GAS I I ROOFING In SPECIALTY I 1 OTHER 11 3 <br /> F <br /> q <br /> INISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO �� q <br /> BUILDER C COMPANY /(J J. kol mil" l /17, Pt C-. <br /> SIGNATURE C am' l ) <br /> REGISTERED I Y/ N I FEE CURREI' 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRE' 1 Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I � Y N I <br /> Address (-3 80a4110.1€ r J .70 / / / i /.L . c (6-7/4 License # CFC /7 Z 70 l <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. (NC upgrades over $7500) <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 if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />