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813 - 780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 -0021 <br /> Building Department 024'9 <br /> Date Received Phone Contact for Permitting Si.3 2 l -- 31 V <br /> Owner's Name <br /> - TO M O 2. P 6-- / Owner Phone Number d / `3 - 395 S <br /> Owner's Address 3 513 .4 ( It 4. /X apt /4' t) CUJ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3S/3 ,4t a 6._m (Art 1(11 lby LOT# .ME <br /> SUBDIVISION � t r�. a Po' l /V�-e PARCEL ID# y - ,2.4 ,2.4 - - 000 - 0 �- X05, 71e <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED pq NEW CONSTR ADD /ALT I SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 I SFR I I COMM n OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL h OTHER I I <br /> DESCRIPTION OF WORK L ati , se A4e. n ro M <br /> BUILDING SIZE <br /> / �� f8 V/ SQ FOOTAGE • i r HEIGHT <br /> / BUILDING $ / 7 000, VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 3-00 6% AMP SERVICE 1 1 PROGRESS ENERGY I X I W.R.E.C. <br /> PLUMBING $ 3 3) PASCO PERMITSERVICE <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION FA i 8 7 14 <br /> - 866$2 4 7894 <br /> I I GAS I I ROOFING I 1 SPECIALTY 1 I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO <br /> BUILDER / �` COMPANY TO/1 L e. <br /> SIGNATURE REGISTERED I Y/ N I FEE C ENT I Y/ N I <br /> Address • SE A it k. fltJY /I- iLil .' License # <br /> ELECTRICIAN COMPANY 7- O(-^ Le &G L) <br /> SIGNATURE j "' "�"" " J REGISTERED I Y/ N 1 FEE Ct RRENT 1 Y/ N I <br /> Address /A y tl k -_t Ao 1,0,,yo f License # <br /> PLUMBER ) � � j COMPA R NYY TO LA Le E � <br /> SIGNATURE II ` of I N I yR RENT I Y / N I <br /> Address 3S/3 --4 ti /2tar /Mz b. -)Q9 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I 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 # <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 - *f Sewers Service Upgrades A/C Fences (PIot/Survey /Footage) <br /> Driveways - ltl d f orrer Counter if on public roadways..needs ROW <br />