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813-780-0020 ' <br /> 13 780 0020 City of Zephyrhills Permit Application ), - ; • D Fax - 813 -780 -0021 <br /> Building Department <br /> � ►' � <br /> Date Received 02- 7- ` '0 Phone Contact for Permitting ;y` jri -- > okr 1 L i . <br /> Owner's Name (7LA 01 S C W-ICA Owner Phone Number <br /> Owner's Address J i ( -t_1Qs+ £ - Owner Phone Number [ <br /> Fee Simple Titleholder Name Owner Phone Number { <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5g SC > M Lr O2- LOT # I <br /> 1 14 l ( <br /> SUBDIVISION C.-C- t't H ! S P ARCEL ID# � OQ O© S! LO a 1- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 15 I SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM I I OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME l 1 STEEL I I OTHER I <br /> DESCRIPTION OF WORK 03 N Dl \./.1_ $L- 5 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> (I BUILDING $ ' g-A 3 VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C. <br /> I I PLUMBING $ <br /> g lif& <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / , ‘ L a d e <br /> I I GAS 1 1 ROOFING 1 I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ IYES I INO <br /> ff <br /> BUILDER / /7 - � . t� I. COMPANY D £ v� IN '-� <br /> SIGNATURE L./. zz (��- / (1„, ' <br /> • <br /> REGISTERED I cry N I FEE CURRENT <br /> Address 3J PA i� x- et a- LL-.) fl T te <br /> -, License # L 3QQ I Y / N 1 <br /> 7 C 0 iv 1 1) <br /> ELECTRICIAN COMPANY . <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address 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 l 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 /> i-H-H IIIIIIIIIH IIIIIIIIIIIIH lilllllin it <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 />