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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department # <br /> rip Date Received - <br /> Phone Contact for Permitting /� 10 <br /> 1 1 1 1 1 1 1 1 1 1 1 t1111111 DIY' <br /> Owner's Name ti. f Owner Phone Number C p Q t 30 ' <br /> • <br /> Owner's Address sCId J ' . ���`C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address n <br /> JOB ADDRESS 500 Q <br /> 1 — j LOT # _ 1 1 - � <br /> SUBDIVISION PARCEL ID# 1 1 Z-6 -24 ' 0010 r c"L OoO - 01C1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I MOVE n DEMOLISH <br /> INSTALL REPAIR R00+ <br /> PROPOSED USE I')C I SFR I I COMM n OTHER I I <br /> TYPE OF CONSTRUCTION I-1 BLOCK I I FRAME 1 STEEL n OTHER 1 I <br /> DESCRIPTION OF WORK PIN2 - -)/00'F i 1 O t[ S cA LA)/ . I Y( 51 `e 5 <br /> BUILDING SIZE SQ FOOTAGE II 00 HEIGHT <br /> I I BUILDING $ 2 C /c VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ J" AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C. <br /> 1 I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS EX1 ROOFING 1 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 1, Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y N 1 <br /> Address _ License # <br /> COMPANY )'V \1 ✓IP� <br /> ,�� 1 I /,'� REGISTERED [Y / N FEE CURREp� I Y/ N 1 <br /> Address 13(pC(1 S' �— ..Q21 diS - 5 . rq License # I eCC ( 2-S <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />