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X13- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received ®d' <br /> Phone Contact for Permitting -- <br /> Owner's Name /� (14 / /� �I UL / � Owner Phone Number <br /> Owner's Address C ///� "/ /? -( /1yV Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /L � <br /> JOB ADDRESS '- '7 /‘ rG 51AL` <br /> / LOT # 07 <br /> SUBDIVISION PARCEL ID# 7/ , t7 . / 007 / 7 40 ° o/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR ( 1 COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION I 1 BLOCK I 1 FRAME I 1 STEEL 1 I OTHER <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 f '41114 .R.E.C. <br /> En PLUMBING $ / ( O 0 b -. � l ( . <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (lc GAS I ( ROOFING I I SPECIALTY I I OTHER 9 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ( 1YES 1 IN <br /> . v <br /> __ <br /> BUILDER ////k,�2 / / /�/� / c COMPANY /'JJ,/ L �i�/"9/6/ 7, � r . XAC. <br /> SIGNATURE J � lJ REGISTERED Y / N FEE CURRENT Y / N <br /> i p <br /> Address 7 ' ' y /L'6 lip g- License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y / N <br /> Address License # <br /> PLUMBER /� f�`t /�-' 1, / _/\ COMPANY ��4�/11C/N119_1 / uR / 57S7(i s, .�T/ . <br /> SIGNATURE L� t REGISTERED Y FEE CURB /NT Y/ N <br /> Addres ` / 7 ) f4Jy G ,Aiv 17 't ,. License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED ( Y/ N 1 FEE CURRENT 1 Y/ N 1 <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 /> 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 />