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813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 <br /> Building Department <br /> Date Received I- /S/G7 ` Phone Contact for Permitting 7 b -- SY59 <br /> Owner's Name ri.j 15 !-C- f Owner Phone Number 3 - T( S <br /> s � t (- <br /> Owner's Address r ( l _ C� ; IA f L /® Owner Phone Number <br /> or— m": <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S .3--c `"'P IA k2f g / /)6 ---- S7 LOT # <br /> SUBDIVISION a l 1 1C. G O f' PARCEL ID# °2I--...6 - •-t2-30 ,G - /-2-/C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED El NEW CONSTR ADD /ALT I 1 SIGN I I MOVE I 1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 1 •K.1 SFR I 1 COMM 1 1 OTHER <br /> TYPE OF CONSTRUCTION 1 1 BLOCK I 1 FRAME 1 I STEEL n OTHER <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE / d x / n g / <br /> SQ FOOTAGE �� HEIGHT <br /> BUILDING S �j <br /> �,� l © � � VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE I 1 PROGRESS ENERGY I 1 W.R.E.C, <br /> PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> f GAS I 1 ROOFING 1 1 SPECIALTY ( 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES [] No <br /> t f�l,S ©Ltt7e'> /j <br /> � //�7�fES <br /> SIGNATURE ( % COMPANY I Co REGISTERED 1 Y / N FEE CURRENT 1 Y / N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N <br /> Address License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y / N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y / N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y / N ' FEE CURRENT 1 Y / N <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 />