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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> 111111111tt -- {, <br /> Owner's Name N \ \k kCl 1N1 24( (�,` 1(LA,S f JL C2 (G OSK-' Owner Phone Number ��j j 1 a -� 0 7 7 7 <br /> Owner's Address , 00k.405 Oaks Lzt ve__I Smnele 337 ; Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS (i) 24 9 Ca kell 0 S ( t <br /> / LOT # <br /> SUBDIVISION (') `S Q&LSlc�-e /3'I i- I PARCEL ID# 0 ' 2 (0 a I -4010 -00300 &) ( v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 I I MOVE I I DEMOLISH <br /> INSTALL REPAIR 1 <br /> PROPOSED USE SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK /� ��p r I I FRAME II I STEEL Ii I OTHER I <br /> DESCRIPTION OF WORK e L &CA Q 17� lam/ ICf U V�-a aV (n W(, ' � (` 6,-"1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ � <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRE ENERGY I I W.R E.C. <br /> I I PLUMBING $ V <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES ONO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # f <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address �j�� T ,, License # _ I n - <br /> MECHANICAL \. L I e Y V COMPANY Y' t -� /I�r j[ 1 '►� i —�rC. <br /> SIGNATURE Vort_11 REGISTERED I Y/ N I FEE CURRENT I Y/ N �� <br /> Address I gr2-1 US toy F 33 Ty 9 <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j 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 Plaris, 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 />