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813 -780 -0020 City of Zephyrhills Permit Application Fax - 813-780 -0021 <br /> Building Department f 3 <br /> Date Received • Phone Contact for Permitting ? c7 -- <br /> Owners Name Name d 6 - r L e e e ft Owner Phone Number 4 ( 7/6 • 137y <br /> Owner's Address S'9og ' rka /'i Owner Phone Number <br /> Fee Simple Titleholder Name . Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 590 3 Vogk5NIe. D2ti€ LOT # <br /> SUBDIVISION , PARCEL ID# /O / 1_ / I 1 D / 2 G , o 000 y'o 6 <br /> (OBTAINED FROM PROPERTY TAX NOTIC ) <br /> WORK PROPOSED FA NEW CONSTR n ADD /ALT I I SIGN 1 1 I I DEMOLISH <br /> INSTALL I I REPAIR <br /> PROPOSED USE I 1 SFR II COMM I I OTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I FRAME I I STEEL L 1 I I <br /> DESCRIPTION OF WORK J/1S%4G L .O/LIE /2 2 "c c o w ✓S t# Ire` <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ f Q2) VALUATION OF TOTAL CONSTRUCTION <br /> 1 (ELECTRICAL $ G � AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> 1 (PLUMBING $ <br /> 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 IGAS I I ROOFING [ 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 ]YES NO <br /> Ae <br /> BUILDER / 0 t% COMPANY //J /LrE4Q GL - Z" <br /> SIGNATURE ' REGISTERED I Y/ N ] FEE CURREN I Y/ N I <br /> Address Z U V O f l J � , � y � , , / C � ✓ / i License # 1 C � ^ C / & 2y <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREI. I Y / N I <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I <br /> Address 1 License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y / N <br /> I I FEE CURREN I Y/ N <br /> Address License # I <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 $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 over Counter if on public roadways..needs ROW <br />