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813 - 780 -0020 City of Zephyrhills Permit Application 14 , 9 1 Fax -813- 780 -0021 <br /> Building Department <br /> air Date Received — r r <br /> � Phone Contact for Permitting �' -- •� '' <br /> Owner's Name C 6 a & ,5\ BOA Owner Pho e Number ( `)? 7 Z o G J J <br /> Owner's Address 0') 2o Nee()4O" 2 /9'Y 2`/W /&'/ /LCS F Owner Pho - umber <br /> • <br /> __Fee Simple Titleholder•NaMe- - --- Owner Phone Number <br /> Fee , .Simpie-Th1 TioT a dlress- - - _ <br /> JOB ADDRESS (�.? 7 7 G // -61/z" C/VI X44'2 J,f//i /L L S F L LOT # /0 <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I 1 MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I SFR I I COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I STEEL I 1 OTHER I <br /> DESCRIPTION OF WORK 1,/iefL/l w /N, // I H f? <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ / r O"0 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> B ILDERRE / , 0 COMPANY ✓ D ) I <br /> REGISTERED ( Y/ N I FEE CURRENT I Y / N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I 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 # T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />