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1 <br /> 813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 <br /> Building Department // (��1, / <br /> Date Received ( <br /> Phone Contact for Permitting V t.3 '"t`'. � (40 <br /> ' Owner's Name L bW / \�� (��t Q Owner Phone Number <br /> ' \ <br /> Owner's Address (A4� t t\•V�h,V �`L ,.r W s1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address -64,1 (' ., \ / 1 <br /> JOB ADDRESS C',, \\ C,\ V(1 Z.0O��\ ,-, k% LOT # <br /> SUBDIVISION ` PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I <br /> INSTALL CONSTR I I REPAIR I SIGN n MOVE n DEMOLISH <br /> PROPOSED USE n SFR n COMM n OTHER I <br /> TYPE OF CONSTRUCTION n BLOCK iii���,,,,,, n FRAME t l STEEL n OTHER <br /> DESCRIPTION OF WORK Vo�1d ,le)/YN yc( 1 NDU P( i0 a( ( v'tsS 1 `' QU 'ft t' 4. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> FT BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL s os AMP SERVICE l l PROGRESS ENERGY n W.R.E.C. <br /> n PLUMBING $ d <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> n GAS Q ROOFING I I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES nNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> ELECTRICIAN ` % %%tom CO R MPANY Lin • Ro Q Elec, • Conti- • <br /> SIGNATURE �^ , � - REGISTERED VY) N I YEE CURRENT Y / N <br /> Address 2G5o Ma✓ton■ Pe., 51t • &A S I s License # I ECZ'OOO1 4 0 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <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 Attomey (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 (PIot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />