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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department O6+ 1 <br /> � ID r <br /> Date Received f 0 Phone Contact for Permitting . / 77f C -- S3 / <br /> 5 <br /> Owner's Name D 4'/LA Owner Phone Number 4/3 7/3"'777/ <br /> Owner's Address ` 14.3' 4 /dfJ 0/k. 44kt • Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /� / /. • / <br /> JOB ADDRESS i�G.do e /IUdA(. 4`!r' LOT # U C <br /> / 'cad C, 0 6 -0/7C - d (� , / <br /> SUBDIVISION Chile— Bl�� �""" PARCEL ID# �� —� — dy d c <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED FEI NEW CONSTR ADD /ALT I SIGN I 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 I COMM ( I OTHER 1 <br /> TYPE OF CONSTRUCTION I 1 BLOCK 1 1 ,FRAME I I STEEL ( I OTHER <br /> DESCRIPTION OF WORK iVit9( a a ,, 7 (/ <br /> &) efah LiL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> oci BUILDING $ 3c)- s7 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ r AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. <br /> PASCO PERMIT SERVICE <br /> PLUMBING (813) -5314 <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION FAX 1-886- 824 - <br /> I I GAS 1 1 ROOFING I I SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> � `r <br /> BUILDER 0/4�Z /_ ' \k".0 ` J COMPANY 16446 f �' _ LN • <br /> SIGNATURE ° 'b ' — �� REGISTERED [ Y/ N I FEE CURRENT I YIN 1 <br /> Address to yfWJ /`/" kat, Z 6J , c1 i License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N 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 I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] 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 />