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813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department 012A <br /> Date Received <br /> 1 - ' t/ Phone Contact for P rmitting <br /> Owner's Name f,'O ' e/9 Owner Phone Number S/ 3 - r7e. <br /> s ?3 "' �� 3L/60 <br /> Owner's Address j 5 5 � Owner Phone Number �J 2 � �' <br /> Fee Simple Tit(eholder'Name 7 r Owner Phone Number <br /> Fee Simple Titleholder Address <br /> / <br /> JOB ADDRESS g 3� • l S / LOT # ' 5-161 7 <br /> SUBDIVISION PARCEL ID# - 06 2/ -&-)/6 - / O /5 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I OTHER I <br /> TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME 1--,<I STEEL n OTHER 1,577Z 5/6 /e tee/4 <br /> X OF WORK 2 l /7 /e/7 No ? 3&— ' <br /> BUILDING SIZE .46 %' 2V SQ FOOTAGE O // HEIGHT / <br /> BUILDING $ a/001 <br /> d VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 .,�. -PROGRESS ENERGY I I W.R.E.C. <br /> PLUMBING $ <br /> N 6) <br /> I MECHANICAL $ VALUATION OF MECHANICAL LLATION <br /> GAS I I ROOFING 1 SPECIALTY I1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I NO <br /> • <br /> BUILDER . / COMPANY 6" �. e/f5 (<1-(;)01: ' I II <br /> SIGNATURE /-/ L' ("L-'L [� REGISTERED I Y / N I FEE CURRENT 2 I Y / N <br /> Address 3 %S �" . I/ s ' ; r�-- /& // 9 License # (T:l ( / ? 5j-330 <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 1 Y/ N I <br /> Address 1 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # F <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 />