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813 - 780 -0020 City of Zephyrhills Permit Application �� ,, Fax- 813- 780 -0021 <br /> Building Department <br /> Date Received o 27 ' -- 9 Phone Contact for Permittin. -- <br /> d�1 $13 - - 2 ) g - S h i t <br /> Owner's Name / /7 !,w 4 fL �' Owner Phone Number <br /> Owner's Address 6920 ®A k ee<5 r CA/A Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �^ <br /> JOB ADDRESS �m'v ,�s� LOT # <br /> SUBDIVISION PARCEL ID# d 2 �O ' — (7Z3 el - � c <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Q_ NEW CONSTR ADD /ALT 1 1 SIGN n MOVE I I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR I I COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION BLOCK I I FRAME I I STEEL 1 I OTHER I <br /> DESCRIPTION OF WORK #/€ — /540/ C 4 ,c e 1/7-- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. <br /> I I PLUMBING $ <br /> MECHANICAL $L 1 1 a /I -(Q� VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I !NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED I 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 I License # I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # ,, r <br /> MECHANICA COMPANY /4�` ` 7 /47/( plfc. <br /> SIGNATURE REGISTERED I //�� Y / N I FEE CURRENT / I ¥ / N I / <br /> Address gJ hl'7 16/ AF 22h ye1,.l15 i f/ T2/ License # l /J t / 7'�' II '7 /} YJ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <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) 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 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 />