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813 -780 -0020 City of Zephyrhills Permit Application /y Fax- 813 -780 -0021 <br /> Building Department 44"93 89 <br /> Date Received q Phone Contact for Permitting S / - 7 - ` S ! <br /> Owner's Name M ' • 6) K / 8 €.-N - re A/ Owner Phone Number 0 /3 7 F -- g' n 1 <br /> Owner's Address 5 33 g -r14 S T Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `S S 3 3 s3 -1 h S — r e LOT # <br /> SUBDIVISION PARCEL ID# (1 -.1.6"----`"1 ( — '' / ° o kj / c I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 1 COMM 11 OTHER 1 I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME / n STEEL n OTHER 1 1 <br /> ! <br /> DESCRIPTION OF WORK r) , e) , i v�' /^ S N G S'` � j <br /> BUILDING SIZE / C k l °' SQ FOOTAGE i ° �j 7 O HEIGHT / <br /> BUILDING $ ,2 O ,A Jr, �� VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 11 PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 1 GAS 1 1 ROOFING I 1 SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES n No <br /> r / _. __ <br /> i <br /> BUILDER / fasEri 11 COMPANY 0E�r s oLt>1 - el) �. I)L''S�/e <br /> SIGNATURE %. , i ` , �w REGISTERED 1 Y / N 1 FEE CURRENT I Y / N I <br /> Address License # 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED (, Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 <br /> Address License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N 1 <br /> Address I 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 /> 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 />