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813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> _ Building Department '- . °. <br /> �� <br /> Date Received '' (2 Phone Contact for Permitting -- <br /> Owner's Name 77 1 ` _ ■ MIIIIIIIIIIIII Owner Phone Number I <br /> Owner's Address <br /> 53 q (4-Th Owner Phone Number %\ L - Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address I I <br /> JOB ADDRESS I 5 � -1 1 2 "1-) H 1(S I Fir 3-35(13 I LOT # I <br /> SUBDIVISION PARCEL ID#1 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 1 1 NEW CONSTR X' I ADD /ALT I I SIGN I MOVE I I DEMOLISH <br /> INSTALL X REPAIR <br /> PROPOSED USE I I SFR I COMM I I OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME 1 I STEEL n OTHER I I <br /> DESCRIPTION OF WORK L\.e. Alr ■ e / f -i. ( up 9 cosh ' - - - " V <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I 1 <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 7 0 AMP SERVICE 1 I PROGRESS ENERGY Ti W.R.E.C. <br /> PLUMBING $ <br /> (2 ' CO ' <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO <br /> I I GAS I 1 ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I - I NO <br /> BUILDER <br /> COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I <br /> Address License # 1 <br /> ELECTRICIAN g 4 COMPANY 1/ 0Vit e 74 WA v, S- f <br /> SIGNATURE I , ( (4 REGISTERED I Y/ N I FEE CURREN/ I Y/N I <br /> ChArtt ; / cfI C.A. ,,4. fig .It-3 <br /> License # <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I <br /> Address I License # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y / N I <br /> Address 1 License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1 <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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />