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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Rrceivetl (� ( 44;Tyq <br /> Phone Contact for Permitting FE -- <br /> Owner's Name 7 �j Owner Phone Number <br /> Owner's Address adaca_ Lei ,ol�T!• ` 61,5 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address J/ / <br /> JOB ADDRESS / 7 7� �/� 5494 LOT # <br /> SUBDIVISION PARCEL ID# • S S 3 4—/) /? — C) r)OUr) - n / <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I 1 MOVE 1 1 DEMOLISH <br /> F INSTALL REPAIR <br /> PROPOSED USE n SFR I (1 COMM 1 I OTHER I I <br /> TYPE OF CONSTRUCTION 1 // 1 LOC / 1 1 FRAME 1 I STEEL n OTHER 1 <br /> DESCRIPTION OF WORK /ns /a� // . ,4 , , C ez)/eCdr <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 1 I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. <br /> PLUMBING <br /> /// $ , �r C. "t /J r e <br /> ,t ,l <br /> MECHANICAL $ g'00 0 VALUATION OF MECHANICAL INSTALLATION (/f 3 <br /> GAS n ROOFING 1 1 SPECIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES nNo <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address / f License # <br /> 7( t / ' ' <br /> MECHANICAL '� �,—/�� / COMPANY <br /> SIGNATURE '�/// /�/.1L[, - REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N <br /> Address License* <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License it <br /> r::: ::r:..... .._ :.. ......... .... ... ....:.. ............ .... ............. .... 3.. ... ... .... .:. v. , I..I,.:;;.:I:iiii ?E'iEi'ii:.. .. I. :...... .. .. v.. .. .. i:':r':I::::ii <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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />