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813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 <br /> Building Department <br /> Date Received G' 0 Phone Contact for Permitting - <br /> - <br /> IIlIillNI ,�n <br /> Owner's Name aq v.. 04. . °t fk.SD in Owner Phone Number <br /> Owner's Address /04 g(1 C I ✓ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address (� �,` <br /> JOB ADDRESS to " 7 0 L1 v�1,SS W601 L r Ze f it yf kv i /& . i' I LOT # <br /> F1-I' <br /> SUBDIVISION D1LV [ PARCEL ID# 0,..1.- 6 -11 -0,1.10 -00000.- Nei <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n MOVE 1 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE I 1 SFR 1 1 COMM 1 I OTHER ( 1 <br /> TYPE OF CONSTRUCTION 1 I BLOCK 1 I FRAME 1 1 STEEL / I I OTHER I 1 <br /> DESCRIPTION OF WORK & k ? di j/`f/ 41 ,3 0 y"...4. se loh 4 [ /' (PI y /t / 7 <br /> BUILDING SIZE SQ FOOTAGE / 715 0 HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ∎ - Y m 1 1 W.R.E.C. <br /> I I PLUMBING $ - p77 , <br /> 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO <br /> 1 I GAS ROOFING 1 1 SPECIALTY 11 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES 1 'NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 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 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address 1 License # <br /> OTHER COMPANY , c(o 49�� ( % 4 A k" Y- <br /> SIGNATURE � REGISTERED I Y / N I FEE CURRENT 1 / N 1 <br /> Address 'pot 1/1 ,1 A eh ii f-( ? 35 2 i 1 License # Cep- d S-- g <br /> 7 / 7 7 <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 clays 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 />