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813 -780 -0020 City of Zephyrhills Permit Application I f 91frax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> IIItIIIIIIIIIIILLl# - - -- <br /> Owner's Name p /,( /, Q,- , ® t r D e-tj Owner Phone Number £J- 2S -173 <br /> Owner's Address 7/ / 5 / 3✓ / ` C ( <� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS // -- -� z-I LOT # <br /> SUBDIVISION PARCEL ID# 1 - 24 - / - 0100- U0000 - O` / <br /> 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR I 1 COMM I OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER I I <br /> DESCRIPTION OF WORK /G- CAR 6 r 4 "/ 3 <br /> BUILDING SIZE SQ FOOTAGE r% HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> I I MECHANICAL $ y - �� VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS ( I ROOFING I I SPECIALTY I 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 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 ( ,f � / <br /> ' COMPAN (Z J �/ S �� 1� r ( / C-7 <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/ N I <br /> Address License # /,9; <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <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 $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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />