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813 -780 -0020 �9 y of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> it f� ° Building Department <br /> Date Received Phone Contact for Permitting -- <br /> / n Owner Phone Number <br /> Owner's Name ¢G / _./: • , _d/ -_ <br /> Owner's Address ` Owner Phone Number 1 <br /> . ( I <br /> Fee Simple Titleholder Name( Owner Phone Number I <br /> Fee Simple Titleholder Addres <br /> JOB ADDRESS I ,,,6 - 6' -- -- 61 ` • 1 LOT # I <br /> SUBDIVISION I I PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR I I ADD /ALT I I SIGN I I MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I I SFR 1 1 COMM 1 1 OTHER I I <br /> TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL I I OTHER I ,/ '�p�JV <br /> DESCRIPTION OF WORK 1 / /&) / 00 / 07/ P 2. 7/ c ./ ' /�U/ �( /g' Ii g,57 �ii. ~ r" ///e/` �C ` <br /> BUILDING SIZE <br /> SQ FOOTAGE I I HEIGHT I I /O <br /> 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. <br /> X PLUMBING $ �g- <br /> I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' - . - <br /> GAS 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO <br /> BUILDER COMPANY 1 I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> License # I <br /> gL <br /> _� V /�, <br /> SIGNATURE ECTRICIAN %r�J �: `� COMPANY REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 7 C o / `lx , /:i T A 3s6sy License # <br /> UMBER COMPANY I At( Le_S ito /A' �C I <br /> .ti REGISTERED I Y/ N 1 Y FEE CURRENT <br /> ���SIGNATUR � 2 <br /> Address License # <br /> MECHANICAL COMPANY I I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <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 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 />