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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department <br /> • <br /> Date Received Phone Contact for Permitting -- <br /> IIIIItIII(tittl <br /> Owner's Name , ....,0 a. f1w01 "/c / erPhone Number M. 3• <br /> Owner's Address 59 735 Ci,(,.4re. kJ. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 301 [� J CL.,..a. u. LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 1 SFR 1 I COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME 1 1 STEEL I I OTHER I I <br /> DESCRIPTION OF WORK CVpr t / A NC, 2. 'C1 A. R o� �C t�e - v . /di. , <br /> BUILDING SIZE — SQ FOOTAGE (((( HEIGHT <br /> — <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. <br /> 530.00 <br /> I 1 PLUMBING $ <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 I GAS I I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N j FEE CURRENT 1 Y/ N 1 <br /> Address ( License # <br /> ELECTRICIAN COMPANY IL Q QS4p I:. I� `c-"4 f st,At. <br /> SIGNATURE...„._ REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address ?.O, 4' Oa 2:14'1 F. 31 S 3e? License # f tALA Ck I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 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 A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />