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813- 780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 02C ( Phone Contact for Permitting 8, <br /> Owner's Name MAR N t As Sc,c. t 4A17€5 Owner Phone Number <br /> Owner's Address 4200 11J . C.E t 1Ti �rx I Rt�� Sna c Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C c4 � P € Inuc LOT # <br /> SUBDIVISION PARCEL ID# 1.' - Z - Z I - 00 LC) 1 bg00 O0 1' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n [] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR n COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK n FRAME I 1 STEEL I I <br /> DESCRIPTION OF WORK S h I nc lE Re cc -[ <br /> BUILDING SIZE SQ FOOTAGE 5 100 HEIGHT <br /> EN BUILDING VALUATION OF TOTAL CONSTRUCTION 7 2 <br /> nELECTRICAL $ AMP SERVICE PROGRESS ENERGY I I W.R.E.C. <br /> 1 (PLUMBING ' S <br /> i <br /> 1 MECHANICAL $ VALUATION OF MECHANICAL INS <br /> GAS 1 1 Cg <br /> OOFING SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES <br /> BUILDER ` COMPANY 4)a t t,1 ( --Gj'1 eAr" (SCY3t t n G <br /> SIGNATURE REGISTERED 1 Y /0 FEE CURREI 1r ) N <br /> Address StR,LIcE GcL. ti 1 tuc1 C "-MR. g i _LS F I License # C'.0 C 05"813L1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED ] Y / N ] FEE CURREt' I Y / N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREI' I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y / N 1 <br /> Address License # <br /> Illllllllllllll1111111111111111111111111111111111ltlilllllllll1111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Budding 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 $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 civet Counter if on public roadways..needs ROW <br />