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813 -780 -0020 City of Zephyrhills Permit Application t , " / 6 (ft; 1 Fax -813- 780 -0021 <br /> Building Department <br /> Date Received' \ Phon= Contact for Permitting `� /- `; -- W <br /> Owner's Name / ( Pitt t / 7$^ -- Owner Phone Number j Z 5 OO <br /> Owner's AdcLss = I 7-r..4— 1 ig J! ' ET Owner Phone Number r <br /> Fee Simple Titleholder`Namel Owner Phone Number [ <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 5 }� / / J1`�L " Ra )77 a- - - _] LOT # I 2- I <br /> 1 t;96-5 � I <br /> SUBDIVISION e .- ' PARCEL ID#1 • <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE 1 1 DEMOLISH <br /> > INSTALL REPAIR <br /> PROPOSED USE SFR I 1 COMM I I OTHER I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL 1 I OTHER I I <br /> DESCRIPTION OF WORK / 4) 5 779-1, L— / ? f 97-0V/3-6. <br /> ' / 5,1- p I <br /> Q x r tY `, HEIGHT <br /> BUILDING SIZE v / ` SQ FOOTAGE I <br /> 151.. BUILDING $ / -`/ ] -r-e, VALUATION OF TOTAL CONSTRUCTION <br /> I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> 1 . <br /> I I PLUMBING < `i i��r <br /> 1 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , �'R f <br /> I I GAS 1 1 ROOFING I I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO <br /> • _ <br /> (� j�` `' COMPANY !l� ,�1 �I .` ?�i/u��L�' <br /> BUILDER �' / `/ <br /> SIGNATURE REGISTERED 'FEE CURRENT I Y / N <br /> Address License # f <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 1 License # r <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 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) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forma. 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 /> 111111111111111111111111111111 <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 />