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813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 <br /> Building Department , <br /> • <br /> Date Received 2 -l'` 1 1 Phone Contact for Permittin • r 13 1 - " , C t Si ^ Owner's Name _ k f 6.- ° +�iz'� Owner Phone Number �' 1 -- 7 P- 5 I • • <br /> Owner's Address 3 C� V col �" l a " r t t Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /7�1 �J <br /> JOB ADDRESS 3cio ;, 0 6 V `'� `('QV L LOT # 3 — I <br /> SUBDIVISION 2 - \jV kA'CiC �� PARCELID# ' 9. — /At —c �' 00100 —03(40 <br /> t J I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH <br /> ><- INSTALL REPAIR <br /> PROPOSED USE I SFR I 1 COMM I OTHER <br /> TYPE OF CONSTRUCTION I I BLOCK 1 I FRAME 1 ( STEEL n OTHER I <br /> DESCRIPTION OF WORK 'coVV1CJI - ex,s.if C k VOj) C 2t - t Ir °t� — 1 f .Q LL) 4J <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ '� �^,\ ` r, V �b VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. <br /> I ( PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS I I ROOFING 1 1 SPECIALTY I XI OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I YES nl NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <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 <br /> Address 1 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address ' r ,l <br /> 1 `� License # <br /> OTHER ` A i J COMPANY 3 G k [c" 4:14. SIGNATUR ���. _ � REGISTERED I Y/ N I FEE RRENT I Y/ N I <br /> Address <br /> '> A�� � i% �1( LS 3 V -1 License # GOT d "I nO q <br /> Viffff <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) 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 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 NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />