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813-780 -0020 City of Zephyrhills Permit Application , <br /> . /'/. /Y — 0 Building Department Iig 17 <br /> Date Received . � `, A Phone Contact for Permitting C5 `V -- Z6' ? <br /> . <br /> Owner's Name � r ,' ,... Owner Phone Number 76'3 2 ? CP <br /> 'f' <br /> Owner's Address 73 Z /CJ ✓: - Owner Phone Number 3 / 0 ---5—Z-- c l v <br /> Fee Simple Titleholder Name Owner Phone Number , <br /> Fee Simple Titleholder Address ,o <br /> JOB ADDRESS `i 7 Z / R > .- r LOT # <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ‘ :.7""--. ADD /ALT I I SIGN I I MOVE 1 I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [14 SFR I I COMM I 1 OTHER morI,LlaggisiwA° <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTH a ' I <br /> O I � � Q��i r i jj ezL.4 � DESCRIPTION OF WORK f�`� -c‘ ti's-3/ S / t (5 TAL C c* r ' —" ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT S I(o <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I ( ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I 1 W.R.E.C. <br /> I I PLUMBING $ <br /> Poc,/ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS I I ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I 'NO <br /> BUILDER / i - _ COMPANY (/ <br /> SIGNATURE I/ REGISTERED � Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address , # <br /> ELECTRICIAN COMPANY V <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> PLUMBER COMPANY '-,---L___ SIGNATURE 1/ REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 <br /> Address License # <br /> MECHANICAL _ .e--5::7 COMPANY fr <br /> SIGNATURE I/ REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I 1 License # F <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 /> 1II11IIIIIIIIIIIIt1111I1111III11IIIIII1l11II, I1111I1111111tillIIlIIIIIIIIiiiiii111111111111II1ii1111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlIIIIIIIIIIIIIII <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 />