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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department l <br /> Date Received Phone Contact for Permitting 13 71-7 -- • 14 Cr o 1 Q <br /> Owner's Name F r S t C Lr , c A, O.. f ` c IN LA, t (f L Owner Phone Number <br /> Owner's Address (a 0 '- 0 g f S+ . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 60/d c <br /> JOB ADDRESS (2 g. S- -. LOT # <br /> SUBDIVISION I Y $ O^ PARCEL ID# 02- )4-21- 0030- 00Aoo- 0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ' ADD aiMP I I SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE n SFR I I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK + I I FRAME 1 1 STEEL I I OTHER I I <br /> 12. <br /> DESCRIPTION OF WORK - 1 '"►-/ 112 ' n mo <br /> o -e <br /> BUILDING SIZE SQ FOOTAGE S/ J HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE < PROGRESS ENERGY I W.R.E.0 <br /> I I PLUMBING $ 7 <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 I SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I <br /> SIGNATURE I�4/ F COMP AY K ' Y / N ( FEE CURRRENT I Y /N <br /> Address 36q13 SQ S ' , 7'4: itS f FL 31541 1 License# 6 13C I2SD5l y <br /> ELECTRICIAN �! /aJ COMPANY NI c r 4 - : n E1 2 G. - Fri C <br /> SIGNATURE ►W REGISTERED I Y/ N I FEE CURRENT I Y / N I <br /> Address 7 g 27 )0to S } DcJQ (:.4 F( 33S24 License# F - 13001 £'J <br /> PLUMBER COMPANY be / S W. Il■ 0•11,s <br /> SIGNATURE 141 C1,4 REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # C F C - 141.5 (201. <br /> MECHANICAL COMPANY �.( J��J P f I - I <br /> SIGNATURE REGISTERED I Y / N f FEE CURRENT I Y/ N I <br /> I <br /> Address 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <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 />